FORM 1023-EZ for AXUM INSTITUTE

Field Data
EIN 52-1734365
Case Number EO-2016012-000244
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name AXUM INSTITUTE
Organization’s Mailing Address PO BOX 1882
City WASHINGTON
State DC
ZIP 20013
Accounting period End 12
Primary contact name MISTERA MULUGETA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MISTERA MULUGETA
EXECUTIVE DIRECTOR
PO BOX 1882
WASHINGTON DC 20013

Officer/Director/Trustee Two

PAULETTE LONG
BOARD OF DIRECTORS
105 EAST 38TH ST SUITE 5A
NEW YORK NY 10016

Officer/Director/Trustee Three

PAUL NGESSAH
BOARD OF DIRECTORS NEW PRO
60 MILFORD AVE
NEWARK NJ 07108

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/20/2015
Organization Incorporation State DC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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