FORM 1023-EZ for AFRICAN HOLOCAUST MUSEUM

Field Data
EIN 82-2006801
Case Number EO-2017184-000154
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name AFRICAN HOLOCAUST MUSEUM
Organization’s Mailing Address 14122 CLOVER POINT DR
City SUGAR LAND
State TX
ZIP 77498-1732
Accounting period End 12
Primary contact name PAM SAM
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PAMELA SAM
CHAIRMAN
14122 CLOVER POINT DR
SUGAR LAND TX 77498-1732

Officer/Director/Trustee Two

AZUKA MUKOLU
PRESIDENT
14122 CLOVER POINT DR
SUGAR LAND TX 77498-1732

Officer/Director/Trustee Three

SMILEY WILKINS
VICE PRESIDENT
185 OAKMONT AVE
LOMPOC CA 93436

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/15/2017
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A54 - History Museums
Organization’s purpose Charitable: No
Religious: Yes
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 Yes
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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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