FORM 1023-EZ for KAKAMEGA GLOBAL HEALTH

Field Data
EIN 85-3858654
Case Number EO-2021127-000096
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name KAKAMEGA GLOBAL HEALTH
Organization’s Mailing Address 121 CAMPUS DRIVE 3108B
City STANFORD
State CA
ZIP 94305
Accounting period End 6
Primary contact name LUQMAN MUSHILA HODGKINSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LUQMAN HODGKINSON
PRESIDENT AND CEO
121 CAMPUS DRIVE 3108B
STANFORD CA 94305

Officer/Director/Trustee Two

MUSKA FAZILAT
TREASURER
1 KNOLLGLEN APT 111
IRVINE CA 92614

Officer/Director/Trustee Three

LULU LWOYELO
VICE PRESIDENT
16033 EAST HIGH STREET
MIDDLEFIELD OH 44062

Officer/Director/Trustee Four

WILMENE HERCULE
SECRETARY
3907 OPAL STREET
OAKLAND CA 94609

Officer/Director/Trustee Five

DEEPA SHARMA
DIRECTOR ON THE BOARD
888 DOUGLAS ROAD APT 1109
CORAL GABLES FL 33134

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/24/2020
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E12 - Fund Raising and/or Fund Distribution
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 Yes
Donation of funds Yes
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 Yes
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 LUQMAN HODGKINSON
Signature Title PRESIDENT AND CEO
Signature Date 5/5/2021

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