FORM 1023-EZ for MONGOL TRIBE INC

Field Data
EIN 82-4543385
Case Number EO-2019028-000324
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MONGOL TRIBE INC
Organization’s Mailing Address 6240 PRIMROSE DR
City LA MESA
State CA
ZIP 91942-4029
Accounting period End 12
Primary contact name NATHAN LOU
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NATHAN LOU
EXECUTIVE DIRECTOR
6240 PRIMROSE DR
LA MESA CA 91942-4029

Officer/Director/Trustee Two

JASON WILLIAMS
PRESIDENT
1401 CLEVELAND AVE
NATIONAL CITY CA 91950

Officer/Director/Trustee Three

BRIAN LEWANDOWSKI
TREASURER
3635 S WOLLMER RD
GREENFIELD WI 53228

Officer/Director/Trustee Four

ALICIA LOU
WELLNESS DIRECTOR
6240 PRIMROSE DR
LA MESA CA 91942-4029

Officer/Director/Trustee Five

DANIELLE MUELLER
MANAGING DIRECTOR
3224 F ST
SAN DIEGO CA 92102

Organization’s website MONGOLTRIBE.ORG
Organization’s email MONGOLTRIBE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/7/18
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S99 - Community Improvement, Capacity Building 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 Yes
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 NATHAN LOU
Signature Title EXECUTIVE DIRECTOR
Signature Date 12/14/18

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