FORM 1023-EZ for MBASSA FOUNDATION INC

Field Data
EIN 86-2851301
Case Number EO-2021100-000424
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MBASSA FOUNDATION INC
Organization’s Mailing Address 585 VAN KIRK STREET
City PHILADELPHIA
State PA
ZIP 19120
Accounting period End 12
Primary contact name MILENIE MBASSA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MILENIE MBASSA
PRESIDENT; TREASURER
585 VAN KIRK STREET
PHILADELPHIA PA 19120

Officer/Director/Trustee Two

MICHAEL ABESSOLO
VICE PRESIDENT
585 VAN KIRK STREET
PHILADELPHIA PA 19120

Officer/Director/Trustee Three

FRANCINE NGUIMDO
SECRETARY
585 VAN KIRK STREET
PHILADELPHIA PA 19120

Organization’s website
Organization’s email MILENIE.M@OUTLOOK.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/17/2021
Organization Incorporation State PA
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 Yes
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 Yes
One Third Support Public Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name MILENIE MBASSA
Signature Title PRESIDENT; TREASURER
Signature Date 3/30/2021

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