FORM 1023-EZ for INDONESIAN COMMUNITY CONNECT INC

Field Data
EIN 82-0946719
Case Number EO-2020188-000554
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name INDONESIAN COMMUNITY CONNECT INC
Organization’s Mailing Address 1337 LILAC LANE
City DOVER
State NH
ZIP 03820-8401
Accounting period End 12
Primary contact name RAUDE RAYCHEL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RAUDE RAYCHEL
PRESIDENT
1337 LILAC LANE
DOVER NH 03820-8401

Officer/Director/Trustee Two

TISE HAVI
TREASURER
145 FLAGG ROAD APT B
ROCHESTER NH 03839-4921

Officer/Director/Trustee Three

SCOTT MARCUS
SECRETARY
240 BUCKMISNTER WAY
PORTSMOUTH NH 03801-5674

Officer/Director/Trustee Four

LENDY PARENGKUAN
OTHER OFFICER
27 NASH PARKWAY
SOMERSWORTH NH 03878-2228

Officer/Director/Trustee Five

TONNY NUGROHO
OTHER OFFICER
25 HEMLOCK FOREST
DOVER NH 03820-4481

Organization’s website WWW.INDONESIANCONNECT.ORG
Organization’s email INFO@INDONESIANCONNECT.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/7/2017
Organization Incorporation State NH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A23 - Cultural, Ethnic Awareness
Organization’s purpose Charitable: No
Religious: No
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 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 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 RAUDE RAYCHEL
Signature Title PRESIDENT
Signature Date 7/2/2020

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