FORM 1023-EZ for LIBUSH INTERNATIONAL OUTREACH NON PROFIT ORGANIZATION

Field Data
EIN 47-4164106
Case Number EO-2019357-000571
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LIBUSH INTERNATIONAL OUTREACH NON PROFIT ORGANIZATION
Organization’s Mailing Address 112 K STREET
City SACRAMENTO
State CA
ZIP 95814
Accounting period End 6
Primary contact name LINET NDANYI-WINBUSH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LINET NDANYI-WINBUSH
CHIEF EXECUTIVE OFFICER
1716 CAMINO REAL WAY
ROSEVILLE CA 95747

Officer/Director/Trustee Two

DAVID SCURFIELD
CHIEF FINANCIAL OFFICER
112 K STREET UNIT 1
SACRAMENTO CA 95814

Officer/Director/Trustee Three

SHARMAGNE WINBUSH
SECRETARY
1716 CAMINO REAL WAY
ROSEVILLE CA 95747

Organization’s website LIBUSHOUTREACH.ORG
Organization’s email INFO@LIBUSHOUTREACH.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/27/2015
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P99 - Human Services - Multipurpose and Other N.E.C.
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 No
Donation of funds No
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 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 LINET NDANYI-WINBUSH
Signature Title CHIEF EXECUTIVE OFFICER
Signature Date 12/21/2019

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