FORM 1023-EZ for KUSOMA INTERNATIONAL

Field Data
EIN 26-2941487
Case Number EO-2020045-000318
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name KUSOMA INTERNATIONAL
Organization’s Mailing Address PO BOX KC
City LOS GATOS
State CA
ZIP 95031
Accounting period End 9
Primary contact name SANDRA DARROW
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SANGAI MOHOCHI
PRESIDENT & FOUNDER
PO BOX 27 - 40414
ISIBANIA, KENYA

Officer/Director/Trustee Two

SANDRA DARROW
EXECUTIVE DIRECTOR
449 ALBERTO WAY - UNIT C232
LOS GATOS CA 95032

Officer/Director/Trustee Three

MBITHI MUTHINI
DIRECTOR OF DEVELOPMENT
598 BLUE JAY DR
HAYWARD CA 94544

Officer/Director/Trustee Four

GEORGE AMULELE
CHIEF FINANCIAL OFFICER
2536 OVERLOOK RD - APT 102
CLEVELAND HEIGHTS OH 44106

Organization’s website WWW.KUSOMAINTERNATIONAL.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/17/2008
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B25 - Secondary, High School
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 Yes
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 No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name SANDRA DARROW
Signature Title EXECUTIVE DIRECTOR
Signature Date 2/12/2020

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