FORM 1023-EZ for GBEHYI SELF RELIANCE GROUP

Field Data
EIN 36-4681411
Case Number EO-2017242-000414
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name GBEHYI SELF RELIANCE GROUP
Organization’s Mailing Address 3218 LEYLAND TRAIL
City WOODBURY
State MN
ZIP 55125
Accounting period End 12
Primary contact name JOHNSON SENDOLO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KAREN DAHN
BOARD MEMBER
120 CHUBB HALL
ATHENS OH 45701

Officer/Director/Trustee Two

SEI BUOR
BOARD MEMBER
16840 MARASHINO DRIVE
NOBLESVILLE IN 46060

Officer/Director/Trustee Three

SHADRACK GONQUEH
BOARD MEMBER
2227 LAKELAND LANE
FORT WAYNE IN 46815

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/8/2010
Organization Incorporation State MN
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: 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 No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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