FORM 1023-EZ for CONGOLESE INTEGRATION NETWORK
| Field | Data |
|---|---|
| EIN | 81-3511834 |
| Case Number | EO-2020296-000100 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | CONGOLESE INTEGRATION NETWORK |
| Organization’s Mailing Address | 19550 INTERNATIONAL BLVD STE 103 |
| City | SEATAC |
| State | WA |
| ZIP | 98188 |
| Accounting period End | 12 |
| Primary contact name | FLORIBERT MUBALAMA |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
EMMANUELLA SHASHA
BOARD PRESIDENT
19550 INTERNATIONAL BLVD STE 103
SEATAC WA 98188
Officer/Director/Trustee Two
KATIE SCIFRES
BOARD VICE-PRESIDENT
19550 INTERNATIONAL BLVD STE 103
SEATAC WA 98188
Officer/Director/Trustee Three
SOLA MIATUDILA
BOARD SECRETARY
19550 INTERNATIONAL BLVD STE 103
SEATAC WA 98188
Officer/Director/Trustee Four
FLORIBERT MUBALAMA
FOUNDER, EXECUTIVE DIRECTOR
19550 INTERNATIONAL BLVD STE 103
SEATAC WA 98188
Officer/Director/Trustee Five
FRANCOISE MILINGANYO
MANAGING DIRECTOR
19550 INTERNATIONAL BLVD STE 103
SEATAC WA 98188
| Organization’s website | WWW.CINSEATTLE.ORG |
|---|---|
| Organization’s email | INFO@CINSEATTLE.ORG |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 7/22/2016 |
| Organization Incorporation State | WA |
| 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 | Yes |
| One Third Support Gifts | No |
| Benefit of College | No |
| Private Foundation 508(e) | No |
| Seeking Retroactive Reinstatement | Yes |
| Seeking Section 7 Reinstatement | No |
| Correctness Declaration | Yes |
| Signature Name | FLORIBERT MUBALAMA |
| Signature Title | FOUNDER, EXECUTIVE DIRECTOR |
| Signature Date | 10/15/2020 |
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