FORM 1023-EZ for KOSA-AMERICA CORPORATION

Field Data
EIN 86-1607551
Case Number EO-2021079-000162
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name KOSA-AMERICA CORPORATION
Organization’s Mailing Address 15250 SIESTA KEY WAY APT 538
City ROCKVILLE
State MD
ZIP 20850
Accounting period End 12
Primary contact name MARTIN BOCKARIE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARTIN BOCKARIE
DIRECTOR
15250 SIESTA KEY WAY
ROCKVILLE MD 20850

Officer/Director/Trustee Two

OSEI ASIBEY BONSU
SECRETARY
308 FOX RUN DRIVE
GALAX VA 24333

Officer/Director/Trustee Three

MOHAMED KAMARA
TREASURER
5208 GALVESTON ROAD
LANHAM MD 20706

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/15/2020
Organization Incorporation State MD
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Z99 - Unclassified
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 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 MARTIN BOCKARIE
Signature Title DIRECTOR
Signature Date 1/25/2021

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