FORM 1023-EZ for OROMIA RURAL HEALTH INITIATIVE

Field Data
EIN 83-3620405
Case Number EO-2019150-000349
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name OROMIA RURAL HEALTH INITIATIVE
Organization’s Mailing Address 6438 13TH AVE
City RICHFIELD
State MN
ZIP 55423
Accounting period End 12
Primary contact name TOLCHA GEMECHU
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TOLCHA GEMECHU
CEO
6438 13TH AVE S
RICHFIELD MN 55423

Officer/Director/Trustee Two

IBSA DHERSA
TREASURER
6438 13TH AVE S
RICHFIELD MN 55423

Officer/Director/Trustee Three

RUNDASSA ESHETE
CHAIRMAN
6438 13TH AVE S
RICHFIELD MN 55423

Officer/Director/Trustee Four

NIKKI JACKSON
MEDICAL DIRECTOR
6438 13TH AVE S
RICHFIELD MN 55423

Officer/Director/Trustee Five

LEMA MELETA
SECRETARY
6438 13TH AVE S
RICHFIELD MN 55423

Organization’s website WWW.OROMIAHEALTH.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/15/19
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E19 - Nonmonetary Support N.E.C.
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name TOLCHA GEMECHU
Signature Title CEO
Signature Date 5/28/19

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