FORM 1023-EZ for NAKISAKI HUMANITARIAN CONSORTIUM INC

Field Data
EIN 86-1190310
Case Number EO-2021064-000487
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NAKISAKI HUMANITARIAN CONSORTIUM INC
Organization’s Mailing Address 5909 NORTHRIDGE DRIVE
City PALMDALE
State CA
ZIP 93551
Accounting period End 12
Primary contact name ROBERT S CUMMINGS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROBERT CUMMINGS
VICE PRESIDENT - CLERK
5909 NORTHRIDGE DRIVE
PALMDALE CA 93551

Officer/Director/Trustee Two

HOPETON BROWN
PRESIDENT - TREASURER
16219 GALLOPING OAK KNOLL
SELMA CA 93551

Officer/Director/Trustee Three

DOROTHY LYN
DIREDTOR
60 RICHMOND BLVD UNIT 1A
RONKONKOMO TX 78154

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/23/2020
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
Organization’s purpose Charitable: Yes
Religious: Yes
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 No
Donation of funds Yes
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 Yes
One Third Support Public No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name ROBERT CUMMINGS
Signature Title VICE PRESIDENT - CLERK
Signature Date 1/4/2021

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