FORM 1023-EZ for PASTOR NLANDU LUSALA FOUNDATION

Field Data
EIN 83-3758765
Case Number EO-2019073-000469
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PASTOR NLANDU LUSALA FOUNDATION
Organization’s Mailing Address 8053 BOULEVARD 26 SUITE C
City NORTH RICHLAND HILLS
State TX
ZIP 76180
Accounting period End 12
Primary contact name HUBERT NLANDU LUSALA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

HUBERT NLANDU LUSALA
PRESIDENT
8053 BOULEVARD 26 SUITE C
NORTH RICHLAND HILLS TX 76180

Officer/Director/Trustee Two

JOHN NDUNGUNU LUSALA
TREASURER
8053 BOULEVARD 26 SUITE C
NORTH RICHLAND HILLS TX 76180

Officer/Director/Trustee Three

PLUSMEN NLANDU LUSALA
VICE PRESIDENT
8053 BOULEVARD 26 SUITE C
NORTH RICHLAND HILLS TX 76180

Officer/Director/Trustee Four

PAULIN LUSALA
SECRETARY
8053 BOULEVARD 26 SUITE C
NORTH RICHLAND HILLS TX 76180

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/27/19
Organization Incorporation State TX
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: 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 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 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 HUBERT NLANDU LUSALA
Signature Title PRESIDENT
Signature Date 3/12/19

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