FORM 1023-EZ for I AM CAMEROON

Field Data
EIN 46-2566071
Case Number EO-2020139-000427
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name I AM CAMEROON
Organization’s Mailing Address 230 FAOX HAVEN DRIVE
City O FALLON
State NC
ZIP 63368
Accounting period End 12
Primary contact name ARREY OBENSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ARREY OBENSON
PRESIDENT/CEO
230 FOX HAVEN DR
O FALLON NC 63368

Officer/Director/Trustee Two

LAMBERT OBENSON
VICE PRESIDENT
506 CROWLEY WAY
MATTHEWS NC 28104

Officer/Director/Trustee Three

VICTORINE OBENSON
SECRETARY GENERAL
230 FOX HAVEN DRIVE
O FALLON MO 63368

Officer/Director/Trustee Four

ARETHA MAKIA
BOARD MEMBER
14912 BROOKVILLE LAKES COURT
BROOKEVILLE NC 20833

Officer/Director/Trustee Five

JANETTE OBENSON
BOARD MEMBER
18276 ROLLING MEADOW DRIVE
OLNEY MD 20832

Organization’s website IAMCAMEROON.ORG
Organization’s email JESUISLECAMEROUN@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/20/2013
Organization Incorporation State MO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Q30 - International Development, Relief Services
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 No
Conducting Activities Outside of United States Yes
Financial transactions with officers No
Unrelated Gross Income $1,000 or More Yes
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 ARREY OBENSON
Signature Title PRESIDENT/CEO
Signature Date 5/15/2020

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