FORM 1023-EZ for DR NIGUSSIE ALEMU FOUNDATION AND SCHOLARSHIP FOR EDUCATION AND MEDICI

Field Data
EIN 83-0720998
Case Number EO-2018156-000037
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name DR NIGUSSIE ALEMU FOUNDATION AND SCHOLARSHIP FOR EDUCATION AND MEDICI
Organization’s Mailing Address 815 THAYER AVE APT 528
City SILVER SPRING
State MD
ZIP 20910
Accounting period End 12
Primary contact name NIEGUSSE GETETA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NIEGUSSE GETETA
MD
815 THAYER AVE APT 528
SILVER SPRING MD 20910

Officer/Director/Trustee Two

KASSYE DEJENE
MD
3001 HOSPITAL DR
CHEVERLY MD 20785

Officer/Director/Trustee Three

TULU HUNDLE
MD
7300 VAN DUSEN RD
LAUREL MD 20707

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/29/18
Organization Incorporation State MD
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code M12 - Fund Raising and/or Fund Distribution
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 Yes
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 NIEGUSSE GETETA
Signature Title MD
Signature Date 6/1/18

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