FORM 1023-EZ for MLIFE FOUNDATION

Field Data
EIN 47-4678443
Case Number EO-2017025-000078
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MLIFE FOUNDATION
Organization’s Mailing Address 1909 MISSION ST 105
City SAN FRANCISCO
State CA
ZIP 94103-3404
Accounting period End 12
Primary contact name MOSES MUKAMI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MOSES MUKAMI
DIRECTOR/PRESIDENT
159 AEGEAN WAY APT 117
VACAVILLE CA 95687-4052

Officer/Director/Trustee Two

ASHESH GHALE
DIRECTOR/TREASURER
826 JACKSON ST APT 306
SAN FRANCISCO CA 94133-4843

Officer/Director/Trustee Three

KAMARIA VENTURA
DIRECTOR/SECRETARY
175 OAKRIDGE DR
DALY CITY CA 94014-1416

Organization’s website MLIFEFOUNDATION.ORG
Organization’s email MMUKAMI@MLIFEFOUNDATION.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/20/2015
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P99 - Human Services - Multipurpose and Other N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
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 No
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 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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