FORM 1023-EZ for HEALTH AFRICA FOUNDATION

Field Data
EIN 47-4396726
Case Number EO-2016267-000210
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HEALTH AFRICA FOUNDATION
Organization’s Mailing Address 160 MADISON CT
City SOUTHAMPTION
State PA
ZIP 18966
Accounting period End 12
Primary contact name LISA GWAIKOLO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LISA GWAIKOLO
PRESIDENT
160 MADISON CT
SOUTHAMPTION PA 18966

Officer/Director/Trustee Two

JESSICA HALM
VICE PRESIDENT
5315 DIAMOND ST
PHILADELPHIA PA 19131

Officer/Director/Trustee Three

GEORGIA WLEH
TREASURER
10361 DYLAN STREET APT 32823
ORLANDO FL 32825

Officer/Director/Trustee Four

KELVINA COLES
SECRETARY
12239 BARBARY RD
PHILADELPHIA PA 19154

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/9/2015
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P40 - Family Services
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 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 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
Signature Title
Signature Date

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