FORM 1023-EZ for SOUTH SUDAN CHILDRENS FOUNDATION

Field Data
EIN 83-3808570
Case Number EO-2019070-000282
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SOUTH SUDAN CHILDRENS FOUNDATION
Organization’s Mailing Address 1810 7TH ST NW
City NEW BRIGHTON
State MN
ZIP 55112-6505
Accounting period End 12
Primary contact name ZACKARIA LUMAYA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ZACKARIA LUMAYA
PRESIDENT
1810 7TH ST NW
NEW BRIGHTON MN 55112-6505

Officer/Director/Trustee Two

JANE LUSAK
TREASURER
1810 7TH ST NW
NEW BRIGHTON MN 55112-6505

Officer/Director/Trustee Three

TERENCE JONES
SECRETARY
8362 TAMARACK VILLAGE 119
WOODBURY MN 55125-3392

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/24/18
Organization Incorporation State MN
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 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 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 TERENCE JONES
Signature Title SECRETARY
Signature Date 3/8/19

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