FORM 1023-EZ for KINGDOM FAMILY HOME

Field Data
EIN 85-3317515
Case Number EO-2020281-000456
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name KINGDOM FAMILY HOME
Organization’s Mailing Address 4102 WALNUT RD
City TEMPLE
State TX
ZIP 76502
Accounting period End 4
Primary contact name LEE NGUYEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LEE NGUYEN
OFFICER
4102 WALNUT RD
TEMPLE TX 76502

Officer/Director/Trustee Two

SEAN AITA
TREASURER
517 NORTH HUNTINGTON AVE APT B
MONTERY PARK CA 91754

Officer/Director/Trustee Three

JONATHAN WU
SECRETARY
12439 AMESBURY CIRCLE
WHITTIER CA 90602

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/10/2020
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P40 - Family Services
Organization’s purpose Charitable: No
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 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 Yes
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 LEE NGUYEN
Signature Title OFFICER
Signature Date 10/5/2020

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