FORM 1023-EZ for AFRICAN COMMUNITY HEALTH AND SOCIALSERVICES INC

Field Data
EIN 87-1966012
Case Number EO-2021230-000201
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name AFRICAN COMMUNITY HEALTH AND SOCIALSERVICES INC
Organization’s Mailing Address 2021 E HENNEPIN AVE STE 187
City MINNEAPOLIS
State MN
ZIP 55413
Accounting period End 12
Primary contact name HODAN DUALEH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

HODAN DUALEH
PRESIDENT
10320 DEVONSHIRE CIRCLE APT D227
BLOOMINGTON MN 55431

Officer/Director/Trustee Two

HIBAQ DUALEH
SECRETARY TREASURER
777 BERRY STREET APT 400
ST PAUL MN 55114

Officer/Director/Trustee Three

HANAN MOALIM
BOARD MEMBER
10320 DEVONSHIRE CIRCLE APT D227
BLOOMINGTON MN 55413

Officer/Director/Trustee Four

IDIL DUALEH
BOARD MEMBER
777 BERRY STREET APT 400
ST PAUL MN 55114

Officer/Director/Trustee Five

ABDIFATAH KARIE
BOARD MEMBER
2021 E HENNEPIN AVE STE 187
MINNEAPOLIS MN 55413

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/4/2011
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 No
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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name HODAN DUALEH
Signature Title PRESIDENT
Signature Date 8/16/2021

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