FORM 1023-EZ for LE GRAIN INC

Field Data
EIN 86-1829750
Case Number EO-2021092-000991
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LE GRAIN INC
Organization’s Mailing Address 3702 GUINEVERE TRACE
City DOUGLASVILLE
State GA
ZIP 30135
Accounting period End 12
Primary contact name EMMANUEL NJEUHMELI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

EMMANUEL NJEUHMELI
PRESIDENT
3702 GUINEVERE TRACE
DOUGLASVILLE GA 30135

Officer/Director/Trustee Two

ERIC LANDRY EKOBENI
VICE PRESIDENT
695 GORDON HOUSE WAY
MIDDLETOWN DE 19709

Officer/Director/Trustee Three

JUSTIN MABOUTH
SECRETARY
3702 GUINEVERE TRACE
DOUGLASVILLE GA 30135

Officer/Director/Trustee Four

HERVE OUAMBO FOTSO
TREASURER
3702 GUINEVERE TRACE
DOUGLASVILLE GA 30135

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/2/2021
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P99 - Human Services - Multipurpose and Other N.E.C.
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 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 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 EMMANUEL NJEUHMELI
Signature Title PRESIDENT
Signature Date 2/27/2021

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