FORM 1023-EZ for HEALTH EDUCATION IN SENEGAL

Field Data
EIN 47-1636658
Case Number EO-2017207-000128
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HEALTH EDUCATION IN SENEGAL
Organization’s Mailing Address 1146 CRAGMONT AVE
City BERKELEY
State CA
ZIP 94708
Accounting period End 12
Primary contact name JACQUES LANNER-CUSIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JACQUES LANNER CUSIN
PRESIDENT, EXECUTIVE DIRECTOR
1146 CRAGMONT AVE
BERKELEY CA 94708

Officer/Director/Trustee Two

KATARINA LANNER CUSIN
DIRECTOR
1146 CRAGMONT AVE
BERKELEY CA 94708

Officer/Director/Trustee Three

CLINTON YOUNG
DIRECTOR
2722 GREEN ST
SAN FRANCISCO CA 94123

Officer/Director/Trustee Four

ELLEN SINGERVINE
TREASURER, DIRECTOR
974 REGAL ROAD
BERKELEY CA 94708

Officer/Director/Trustee Five

TYSON REDENBARGER
SECRETARY
233 ARKANSAS ST 3
SAN FRANCISCO CA 94107

Organization’s website
Organization’s email SYMPOSIUM39@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/18/2014
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B24 - Primary, Elementary Schools
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 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 No
One Third Support Public No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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