FORM 1023-EZ for ALVITA MUTHEU FOUNDATION INC

Field Data
EIN 86-2591931
Case Number EO-2021100-001033
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ALVITA MUTHEU FOUNDATION INC
Organization’s Mailing Address 506 S SPRING ST 13308 SMB 5198
City LOS ANGELES
State CA
ZIP 90013
Accounting period End 12
Primary contact name ALVITA KISINI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ALVITA KISINI
PRESIDENT
8451 CALLE CARABE ST
RANCHO CUCAMONGA CA 91730

Officer/Director/Trustee Two

ALICE SAMUKA
DIRECTOR
506 S SPRING ST 13308 SMB 5198
LOS ANGELES CA 90013

Officer/Director/Trustee Three

JIMMY OKUMU
DIRECTOR
506 S SPRING ST 13308 SMB 5198
LOS ANGELES CA 90013

Organization’s website
Organization’s email akisini52@gmail.com
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/21/2021
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T23 - Private Operating Foundations
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 Yes
Financial transactions with officers Yes
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 ALVITA KISINI
Signature Title PRESIDENT
Signature Date 3/30/2021

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