FORM 1023-EZ for LEAD AFRICA FOUNDATION

Field Data
EIN 81-3759236
Case Number EO-2016256-000513
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LEAD AFRICA FOUNDATION
Organization’s Mailing Address 5201 SAINT IMIER DR
City FRIDLEY
State MN
ZIP 55421
Accounting period End 7
Primary contact name LIBAN MOHAMUD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LIBAN MOHAMUD
PRESIDENT
5201 SAINT IMIER DR
FRIDLEY MN 55421

Officer/Director/Trustee Two

LIBAN DALMAR
VICE PRESIDENT
123 SEAWELL CT
SAN JOSE CA 95138

Officer/Director/Trustee Three

AHMED DALMAR
OFFICER
8933 PEWATWICK CIRCLE NORTH
BROOKLYN PARK MN 55443

Officer/Director/Trustee Four

AIDARUS AMIIN
SECRETARY
4725 MINNETONKA BLVD APT 219
SAINT LOUIS PARK MN 55416

Officer/Director/Trustee Five

BURHAN DALMAR
OFFICER
11115 DAWSON SPRINGS DR
RICHMOND TX 77406

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/4/2016
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
Literary: Yes
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
Signature Title
Signature Date

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