FORM 1023-EZ for RAOUDA MEDICAL CENTER TAHOUA INC

Field Data
EIN 82-3686984
Case Number EO-2018071-000171
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name RAOUDA MEDICAL CENTER TAHOUA INC
Organization’s Mailing Address 1860 DUNBAR PLACE
City BURLINGTON
State NC
ZIP 27215
Accounting period End 12
Primary contact name ABDOUL KADER SALOU
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MAHAMAN MOUSSA
PRESIDENT
3548 THORNABY CIR
WINSTON SALEM NC 27107

Officer/Director/Trustee Two

ABDOUL KADER SALOU
VICE PRESIDENT SECRETARY
6626 BARTON CREEK DRIVE
WHITSETT NC 27377

Officer/Director/Trustee Three

OMAR SALOU
TREASURER
311 MALAMUTE LN
GREENSBORO NC 27407

Officer/Director/Trustee Four

HAROUNA ABOUBACAR
ADVISOR
3548 THORNABY CIR
WINSTON SALEM NC 27107

Officer/Director/Trustee Five

YAHAYA RAMBAZO
ADVISOR
6626 BARTON CREEK DRIVE
WHITSETT NC 27377

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/13/17
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T50 - Philanthropy, Charity, Voluntarism Promotion, General
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 Yes
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 Yes
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 ABDOUL KADER SALOU
Signature Title VICE PRESIDENT SECRETARY
Signature Date 3/8/18

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