FORM 1023-EZ for KUIZAH FOUNDATION INC

Field Data
EIN 83-1386438
Case Number EO-2018218-000735
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name KUIZAH FOUNDATION INC
Organization’s Mailing Address 4626 ABERCROMBY ST
City CHARLOTTE
State NC
ZIP 28213
Accounting period End 12
Primary contact name DORIANT NOUDJOM KAMSU
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DORIANT NOUDJOM KAMSU
PRESIDENT
4626 ABERCROMBY ST
CHARLOTTE NC 28213

Officer/Director/Trustee Two

ADELE NICOLE KAMSU
SECRETARY
4626 ABERCROMBY ST
CHARLOTTE NC 28213

Officer/Director/Trustee Three

MICHEL TCHINDA TSATEDEM
TREASURER
4626 ABERCROMBY ST
CHARLOTTE NC 28213

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/30/18
Organization Incorporation State NC
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 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 DORIANT NOUDJOM KAMSU
Signature Title PRESIDENT
Signature Date 8/4/18

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