FORM 1023-EZ for RELIEF ORGANIZATION FOR SOUTH SUDAN- USA

Field Data
EIN 47-2062486
Case Number EO-2017144-000218
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name RELIEF ORGANIZATION FOR SOUTH SUDAN- USA
Organization’s Mailing Address 11820 GOLDEN BLVD APT 810
City BELLEVUE
State NE
ZIP 68123-3134
Accounting period End 12
Primary contact name JOHN CHUOL KUEK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOHN CHUOL KUEK
DIRECTOR AND PRESIDENT/CEO
3969 CHARLES STREET
LA MESA CA 91941-7516

Officer/Director/Trustee Two

GATLUAK KUEK NYIR
DIRECTOR AND TREASURER/CFO
7070 CAPITAL COURT APT 760
OMAHA NE 68132-2734

Officer/Director/Trustee Three

TIBISA JIECHLAT THOR
SECRETARY
440 HILLSIDE COURT APT 1
DES MOINES IA 50327-2204

Officer/Director/Trustee Four

ROSEMARY LOKULE
DIRECTOR AND VICE PRESIDENT
860 MURFREESBORO PIKE APT D27
NASHVILLE TN 37217-1164

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/10/2014
Organization Incorporation State NE
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Q33 - International Relief
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 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 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
Signature Title
Signature Date

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