FORM 1023-EZ for NUKAYIE HEALTH AND EDUCATION FOUNDATION NHEF

Field Data
EIN 85-3007986
Case Number EO-2021054-000105
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NUKAYIE HEALTH AND EDUCATION FOUNDATION NHEF
Organization’s Mailing Address 6670 LUCIA LANE NORTHEAST 6
City FRIDLEY
State MN
ZIP 55432
Accounting period End 12
Primary contact name MARY WALKER JOHNSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RICHARD LEPOLU
PRESIDENT/FOUNDER
6670 LUCIA LANE NORTHEAST 6
FRIDLEY MN 55432

Officer/Director/Trustee Two

MARY WALKER JOHNSON
TREASURER
10107 CASTILE COURT UNIT A
HENRICO VA 23238

Officer/Director/Trustee Three

BLAINE HESSE
SECRETARY
6670 LUCIA LANE NORTHEAST 6
FRIDLEY MN 55432

Officer/Director/Trustee Four

ANDREW FODAY
DIRECTOR/PROJECTS
7610 BOLERO DR
CAMBY IN 46113

Organization’s website
Organization’s email NUKAYIEHEALTH@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/22/2020
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F20 - Alcohol, Drug and Substance Abuse, Dependency Prevention and Treatment
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 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 No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name RICHARD LEPOLU
Signature Title PRESIDENT/FOUNDER
Signature Date 12/23/2020

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