FORM 1023-EZ for PEACE HOUSE FOUNDATION USA

Field Data
EIN 85-0763381
Case Number EO-2020113-000098
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PEACE HOUSE FOUNDATION USA
Organization’s Mailing Address 10228 MOROCCO RD
City HOUSTON
State TX
ZIP 77041-7430
Accounting period End 12
Primary contact name CLEMENT ADOMOKAI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CLEMENT ADOMOKAI
OFFICER/DIRECTOR
10228 MOROCCO ROAD
HOUSTON TX 77041

Officer/Director/Trustee Two

YOLANDA BELLOW
DIRECTOR
11503 W MONTGOMERY ROAD
HOUSTON TX 77088

Officer/Director/Trustee Three

DONALD DIXON
DIRECTOR
11503 W MONTGOMERY ROAD
HOUSTON TX 77088

Officer/Director/Trustee Four

HALIMA MAHAJA
MEMBER
15100 GOLDEN EAGLE DRIVE
HUMBLE TX 77396

Officer/Director/Trustee Five

PAUL ODEMIKHE
DIRECTOR
818 E 232 ST
BRONX NY 10466

Organization’s website
Organization’s email PEACEHOUSEFOUDATION@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/28/2019
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X11 - Single Organization Support
Organization’s purpose Charitable: Yes
Religious: Yes
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 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 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 CLEMENT ADOMOKAI
Signature Title OFFICER/DIRECTOR
Signature Date 4/20/2020

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