FORM 1023-EZ for PELISA ENERGY

Field Data
EIN 82-4421815
Case Number EO-2018227-000245
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PELISA ENERGY
Organization’s Mailing Address PO BOX 30863
City OAKLAND
State CA
ZIP 94604
Accounting period End 12
Primary contact name KIAZI MALONGA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KIAZI MALONGA
PRESIDENT
PO BOX 30863
OAKLAND CA 94604

Officer/Director/Trustee Two

AJANI HUSBANDS
MEMBER
PO BOX 30863
OAKLAND CA 94604

Officer/Director/Trustee Three

LAISHA MALONGA
MEMBER
PO BOX 30863
OAKLAND CA 94604

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/16/18
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code C35 - Energy Resources Conservation and Development
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 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 KIAZI MALONGA
Signature Title PRESIDENT
Signature Date 8/13/18

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