FORM 1023-EZ for FUSION CONSORTIUM

Field Data
EIN 82-5370185
Case Number EO-2018169-000410
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FUSION CONSORTIUM
Organization’s Mailing Address 87 N RAYMOND AVENUE
City PASADENA
State CA
ZIP 91103-3932
Accounting period End 12
Primary contact name RANDALL VOLBERG
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RANDALL VOLBERG
EXECUTIVE DIRECTOR
87 N RAYMOND AVE
PASADENA CA 91103-3932

Organization’s website WWW.FUSIONCONSORTIUM.ORG
Organization’s email HELLO@FUSIONCONSORTIUM.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/1/18
Organization Incorporation State NV
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code C35 - Energy Resources Conservation and Development
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
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 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 RANDALL VOLBERG
Signature Title EXECUTIVE DIRECTOR
Signature Date 6/13/18

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