FORM 1023-EZ for JESSE LUCKY FOUNDATION INC

Field Data
EIN 47-4150087
Case Number EO-2015212-000115
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name JESSE LUCKY FOUNDATION INC
Organization’s Mailing Address 200 BED FORD RD APT N0 7A
City WOBURN
State MA
ZIP 01801
Accounting period End 12
Primary contact name JANE SERUMAGA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JANE SERUMAGA
PRESIDENT
200 BEDFORD RD APT NO 7A
WOBURN MA 01801

Officer/Director/Trustee Two

ENOCH SERUMAGA
FINANCE DIRECTOR
200 BED FORD RD APT NO 7A
WOBURN MA 01801

Officer/Director/Trustee Three

HILDA NKUGWA
DIRECTOR
34 PORTER RD CHELMSFORD
CHELMSFORD MA 01824

Officer/Director/Trustee Four

HERBERT KIBUUKA
DIRECTOR
24 BEACON ST APT 28A
BURLINGTON MA 01803

Officer/Director/Trustee Five

SUSAN LUMU
SECRETARY
12 COOK ST
BILLERICA MA 01821

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/12/2015
Organization Incorporation State MA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E80 - Health, General and Financing
Organization’s purpose Charitable: Yes
Religious: Yes
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 Yes
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
Signature Title
Signature Date

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