FORM 1023-EZ for NKI SA-A USA

Field Data
EIN 82-4701811
Case Number EO-2018071-000181
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NKI SA-A USA
Organization’s Mailing Address 4507 W FRANKFORT DRIVE
City ROCKVILLE
State MD
ZIP 20853
Accounting period End 12
Primary contact name SERGE ATONTSA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JEAN CALVIN KENGNE
DIRECTOR
8522 PIONEER DRIVE
SEVERN MD 21144

Officer/Director/Trustee Two

FAUSTIN-MAGNON NOUBISSI
DIRECTOR
8020 CLEVERWOOD CT
GAITHERSBURG MD 20879

Officer/Director/Trustee Three

JEAN MARIE TAKOUGNE
DIRECTOR
4507 W FRANKFORT DRIVE
ROCKVILLE MD 20853

Officer/Director/Trustee Four

MARIE MADELEINE KENGNE
DIRECTOR
8522 PIONEER DRIVE
SEVERN MD 21144

Officer/Director/Trustee Five

SEVERIN ROGER TENE
DIRECTOR
4507 W FRANKFORT DRIVE
ROCKVILLE MD 20853

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/29/17
Organization Incorporation State MD
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A20 - Arts, Cultural 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 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 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 FAUSTIN-MAGNON NOUBISSI
Signature Title DIRECTOR
Signature Date 3/8/18

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