FORM 1023-EZ for PERPETUAL LOVE FOUNDATION

Field Data
EIN 81-4178738
Case Number EO-2016295-000242
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PERPETUAL LOVE FOUNDATION
Organization’s Mailing Address 440 NORTH RENGSTORFF AVENUE APT430A
City MOUNTAIN VIEW
State CA
ZIP 94043
Accounting period End 12
Primary contact name GEORGETTE HELENE COUMBA SOW
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

GEORGETTE HELENE COUMBA SOW
EXECUTIVE DIRECTOR
440 NORTH RENGSTORFF AV APT 430A
MOUNTAIN VIEW CA 94043

Officer/Director/Trustee Two

KOUASSI SERGE DIDIER TANOH
DIRECTOR
118 N ELDORADO ST
SAN MATEO CA 94401

Officer/Director/Trustee Three

APRIL ORNELAS
DIRECTOR
426 ESCUELA AVENUE APT 11
MOUNTAIN VIEW CA 94040

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/20/2016
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W99 - Public, Society Benefit - Multipurpose and Other N.E.C.
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
Scientific: Yes
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 Yes
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 Yes
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
Signature Title
Signature Date

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