FORM 1023-EZ for ADI-QONTSI HERITAGE FOUNDATION IN NORTH AMERICA

Field Data
EIN 47-4367169
Case Number EO-2021140-000598
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ADI-QONTSI HERITAGE FOUNDATION IN NORTH AMERICA
Organization’s Mailing Address 25409 BRADSHAW DRIVE
City SOUTH RIDING
State VA
ZIP 20152
Accounting period End 12
Primary contact name ANDEMICAEL TESFAI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

AREFE GHEREMEDHIN
DIRECTOR
11669 FOLEY BLVD NW
COON RAPIDS MN 55448

Officer/Director/Trustee Two

ANDEMICAEL TESFAI
DIRECTOR
3067 SOUTH VALENTIA STREET
DENVER CO 80231

Officer/Director/Trustee Three

KIDAN ASFEHA
DIRECTOR
6401 SHELLMOUND STREET NUMBER 6311
EMERSVILLE CA 94608

Officer/Director/Trustee Four

PAULOS NATNAEL
DIRECTOR
25409 BRADSHAW DRIVE
SOUTH RIDING VA 20152

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/25/2015
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S30 - Economic Development
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee No
Donation of funds No
Conducting Activities Outside of United States Yes
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance No
One Third Support Public No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name PAULOS NATNAEL
Signature Title DIRECTOR
Signature Date 5/14/2021

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