FORM 1023-EZ for OBUNTU NATION INC

Field Data
EIN 84-1841138
Case Number EO-2020002-000237
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name OBUNTU NATION INC
Organization’s Mailing Address 2496 MAMMOTH WAY
City ANTIOCH
State CA
ZIP 94531
Accounting period End 12
Primary contact name GERALD ATWINE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

GERALD ATWINE
PRESIDENT-CEO
2496 MAMMOTH WAY
ANTIOCH CA 94531

Officer/Director/Trustee Two

PATRICK HEKENO
TREASURER-CEO
2496 MAMMOTH WAY
ANTIOCH CA 94531

Officer/Director/Trustee Three

VALINDA ALACHAPPELLE
SECRETARY
3980 TULE STREET
W SACRAMENTO CA 95691

Organization’s website
Organization’s email VALACHAPP@AOL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/21/2019
Organization Incorporation State CA
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 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 VALINDA ALACHAPPELLE
Signature Title SECRETARY
Signature Date 12/30/2019

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