FORM 1023-EZ for CORE HUMANITARIAN AGENCY INC

Field Data
EIN 85-1933619
Case Number EO-2021221-000510
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CORE HUMANITARIAN AGENCY INC
Organization’s Mailing Address 2606 COLIN AVE
City LOUISVILLE
State KY
ZIP 40217
Accounting period End 12
Primary contact name LUAL AKER DENG
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LUAL AKER DENG
PRESIDENT & DIRECTOR
2606 COLIN AVE
LOUISVILLE KY 40217

Officer/Director/Trustee Two

PHILLIP ANYIETH
TREASURER
563 W GRANITE DR APT D
BLOOMINGTON IN 47404

Officer/Director/Trustee Three

JANE JERUTO BARTONJO
SECRETARY
6420 KYKE RIDGE WAY APT 101
LOUISVILLE KY 40228

Organization’s website
Organization’s email LUALDTIEL99@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/26/2020
Organization Incorporation State KY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P99 - Human Services - Multipurpose and Other N.E.C.
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 Yes
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 LUAL AKER DENG
Signature Title PRESIDENT & DIRECTOR
Signature Date 8/6/2021

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