FORM 1023-EZ for COMMUNITY FULFILLMENT FOUNDATION

Field Data
EIN 86-2510609
Case Number EO-2021096-001426
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name COMMUNITY FULFILLMENT FOUNDATION
Organization’s Mailing Address 4824 HOLLOW CORNER RD 261
City CULVER CITY
State CA
ZIP 90230
Accounting period End 12
Primary contact name MESERET MEHZUN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TSEGA HABTE
CEO
4824 HOLLOW CORNER RD 261
CULVER CITY CA 90230

Officer/Director/Trustee Two

MESERET MEHZUN
SECRETARY
4824 HOLLOW CORNER RD 261
CULVER CITY CA 90230

Officer/Director/Trustee Three

MERHAWIT MEHZUN
CFO
4824 HOLLOW CORNER RD 261
CULVER CITY CA 90230

Officer/Director/Trustee Four

WILLIAM H DUKE
DIRECTOR
4824 HOLLOW CORNER RD 261
CULVER CITY CA 90230

Officer/Director/Trustee Five

JACKIE FERGUSON
DIRECTOR
4824 HOLLOW CORNER RD 261
CULVER CITY CA 90230

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/25/2021
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S31 - Urban, Community Economic Development
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 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 TSEGA HABTE
Signature Title CEO
Signature Date 3/9/2021

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