FORM 1023-EZ for FOUNDATION FOR HEALTHIER SENEGAL

Field Data
EIN 84-3287179
Case Number EO-2019302-000200
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FOUNDATION FOR HEALTHIER SENEGAL
Organization’s Mailing Address 153 CYPRESS LAKE BLVD
City MADISON
State MS
ZIP 39110
Accounting period End 12
Primary contact name SALOUM CISSE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MOMAR TALLA CISSE
PRESIDENT
153 CYPRESS LAKE BLVD
MADISON MS 39110

Officer/Director/Trustee Two

SALOUM CISSE
CHIEF EXECUTIVE OFFICER
153 CYPRESS LAKE BLVD
MADISON MS 39110

Officer/Director/Trustee Three

FALLOU NDOYE
TREASURER
153 CYPRESS LAKE BLVD
MADISON MS 39110

Officer/Director/Trustee Four

MICHELLE CHAMBERS
SECRETARY
153 CYPRESS LAKE BLVD
MADISON MS 39110

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/18/19
Organization Incorporation State MS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E01 - Alliance/Advocacy Organizations
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 SALOUM CISSE
Signature Title CHIEF EXECUTIVE OFFICER
Signature Date 10/27/19

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