FORM 1023-EZ for ETHIOFAITH USA

Field Data
EIN 81-2605676
Case Number EO-2016141-000332
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ETHIOFAITH USA
Organization’s Mailing Address 3500 EASTVIEW DRIVE NE
City GRAND RAPIDS
State MI
ZIP 49525
Accounting period End 12
Primary contact name STEVE TIMMERMANS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

VINCENT R ADAMS
DIRECTOR VICE PRESIDENT
12643 S KOSTNER AVENUE
ALSIP IL 60803

Officer/Director/Trustee Two

LINDA KAMPS
DIRECTOR SECRETARY
3741 MONARCH DRIVE NE
GRAND RAPIDS MI 49525

Officer/Director/Trustee Three

H ROBERT IPPEL
DIRECTOR PRESIDENT
P O BOX 37
REHOBOTH NM 87322

Officer/Director/Trustee Four

LARRYL HUMME
DIRECTOR TREASURER
19525 FORESTDALE COURT
MOKENA IL 60448

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/3/2016
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B11 - Single Organization Support
Organization’s purpose Charitable: No
Religious: Yes
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 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
Signature Title
Signature Date

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