FORM 1023-EZ for IMMIGRANT SUPPORT ASSOCIATION

Field Data
EIN 81-2770411
Case Number EO-2016221-000380
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name IMMIGRANT SUPPORT ASSOCIATION
Organization’s Mailing Address 237 OXFORD ST
City PORTLAND
State ME
ZIP 04101
Accounting period End 12
Primary contact name LAWUM KAYAMBA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LAWUM KAYAMBA
PRESIDENT AND CEO
137 ANDERSON ST
PORTLAND ME 04101

Officer/Director/Trustee Two

PATRICK MBENZA
VICE PRESIDENT, SECRETARY
32 DODGE ST
WESTBROOK ME 04092

Officer/Director/Trustee Three

GAUTHIER KAYAMBA
TREASURER
132 MARGINAL WAY APT 319
PORTLAND ME 04101

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/26/2016
Organization Incorporation State ME
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W99 - Public, Society Benefit - 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 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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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