FORM 1023-EZ for NATION OF TRIBALIGHTS

Field Data
EIN 83-0698667
Case Number EO-2021167-000465
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NATION OF TRIBALIGHTS
Organization’s Mailing Address 2017 S SHERBOURNE DR UNIT A
City LOS ANGELES
State CA
ZIP 90034
Accounting period End 5
Primary contact name ANDREW KONKOWSKI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANDREW KONKOWSKI
VISIONARY
2017 S SHERBOURNE DR UNIT A
LOS ANGELES CA 90034

Officer/Director/Trustee Two

ERIKA BELAVY
STRATEGIST
14227 SUNSET BLVD
PACIFIC PALISADES CA 90272

Officer/Director/Trustee Three

NINA CURTIS
TREASURER
2137 PASQUAL DR
ROSEVILLE CA 95661

Organization’s website WWW.TRIBALIGHTS.ORG
Organization’s email INFO@TRIBALIGHTS.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/8/2018
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F80 - Mental Health Association, 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 Yes
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 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 ANDREW KONKOWSKI
Signature Title VISIONARY
Signature Date 6/15/2021

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