FORM 1023-EZ for FUSION LEARNING LAB INC

Field Data
EIN 46-4220980
Case Number EO-2016071-000196
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FUSION LEARNING LAB INC
Organization’s Mailing Address 713 MACARTHUR DRIVE
City BUFFALO GROVE
State IL
ZIP 60089
Accounting period End 12
Primary contact name LBERTRICE HOPSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JIMMY KIM
EXECUTIVE DIRECTOR
713 MACARTHUR DRIVE
BUFFALO GROVE IL 60089

Officer/Director/Trustee Two

RYAN KLINGER
DIRECTOR
1252 JULIANNE DRIVE
HUMMELSTOWN PA 17036

Officer/Director/Trustee Three

LBERTRICE HOPSON
DIRECTOR
2390 CRENSHAW BLVD SUITE E103
TORRANCE CA 90501

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/5/2015
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B90 - Educational Services and Schools - Other
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
Signature Title
Signature Date

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