FORM 1023-EZ for CONGO GREAT SAMARITAN
| Field | Data |
|---|---|
| EIN | 84-3340034 |
| Case Number | EO-2020176-000303 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | CONGO GREAT SAMARITAN |
| Organization’s Mailing Address | 9458 WOODLAND HILLS DRIVE APT 58 |
| City | HAMILTON |
| State | OH |
| ZIP | 45011 |
| Accounting period End | 12 |
| Primary contact name | MIKE KILABI |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
MIKE KILABI
DIRECTOR
9458 WOODLAND HILS DR APT 58
HAMILTON OH 45011
Officer/Director/Trustee Two
NATHY MATALATALA
DIRECTOR
9458 WOODLAND HILLS DRIVE APT 58
HAMILTON OH 45011
Officer/Director/Trustee Three
LOUIS ZILUNINI
DIRECTOR
9458 WOODLAND HILLS DRIVE APT 58
HAMILTON OH 45011
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 9/6/2019 |
| Organization Incorporation State | OH |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | B12 - Fund Raising and/or Fund Distribution |
| 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 | 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 | MIKE KILABI |
| Signature Title | DIRECTOR |
| Signature Date | 6/22/2020 |
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