FORM 1023-EZ for MEA MEHAZA ASSOCIATION

Field Data
EIN 46-3759404
Case Number EO-2016260-000229
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MEA MEHAZA ASSOCIATION
Organization’s Mailing Address 2507 WARMHEARTH LOOP
City ROSEVILLE
State CA
ZIP 95747
Accounting period End 12
Primary contact name HADISH ASFAHA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

HADISH ASFAHA
AGENT OF SERVICE/PRESIDENT
2507 WARMHEARTH LOOP
ROSEVILLE CA 95747-8090

Officer/Director/Trustee Two

HAGOS SELTENE
TREASURER
13400 BLANCO RD APT 1106
SAN ANTONIO TX 78216-2183

Officer/Director/Trustee Three

OGBAI HAGOS
CHIARMAN
4354 WESLEY WAY
EL SOBRANTE CA 94803-3046

Officer/Director/Trustee Four

ABRAHAM NEGASH
OFFICER
2271 GIANERA STREET
SANTA CLARA CA 95054-1376

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/10/2013
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B40 - Higher Education Institutions
Organization’s purpose Charitable: No
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 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 Yes
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
EIN 46-3759404
Case Number EO-2015310-000327
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MEA MEHAZA ASSOCIATION
Organization’s Mailing Address 2507 WARMHEARTH LOOP
City ROSEVILLE
State CA
ZIP 95747-8090
Accounting period End 12
Primary contact name HADISH ASFAHA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

HADISH ASFAHA
AGENT OF SERVICE / PRESIDENT
2507 WARMHEARTH LOOP
ROSEVILLE CA 95747-8090

Officer/Director/Trustee Two

HAGOS SELETE
TREASURER
13400 BLANCO RD APT 1106
SAN ANTONIO TX 78216-2183

Officer/Director/Trustee Three

OGBAI HAGOS
CHAIRMAN
4354 WESLEY WAY
EL SOBRANTE CA 94803-3046

Officer/Director/Trustee Four

ABRAHAM NEGASH
OFFICER
2271 GIANERA STREET
SANTA CLARA CA 95054-1376

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/10/2013
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B40 - Higher Education Institutions
Organization’s purpose Charitable: No
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 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 Yes
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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