FORM 1023-EZ for KEMELONG FOUNDATION NFP

Field Data
EIN 84-2543209
Case Number EO-2019212-000325
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name KEMELONG FOUNDATION NFP
Organization’s Mailing Address 170 OAKLAND HALL ROAD
City PRINCE FREDERICK
State MD
ZIP 20678
Accounting period End 12
Primary contact name DR GODFREY EKHOMU CPA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PASCAL KEMELONG
PRESIDENT
170 OAKLAND HALL RD
PRINCE FREDERICK MD 20678

Officer/Director/Trustee Two

HEMIA AGBAKANSI
DIRECTOR
170 OAKLAND HALL RD
PRINCE FREDERICK MD 20678

Officer/Director/Trustee Three

WILFRED TEBO
DIRECTOR
3849 BERLEIGH HILL CT
BURTONSVILLE MD 20866

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/1/19
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X20 - Christian
Organization’s purpose Charitable: Yes
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 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 PASCAL KEMELONG
Signature Title PRESIDENT
Signature Date 7/29/19

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