FORM 1023-EZ for WELL AFRICA - USA INC

Field Data
EIN 47-2309771
Case Number EO-2015012-000521
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name WELL AFRICA - USA INC
Organization’s Mailing Address 10 NORTHRIDGE LANE
City SANDY
State UT
ZIP 84092-4902
Accounting period End 12
Primary contact name BLANCH LINTON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

SERY KOUMA KONE
DIRECTOR AND PRESIDENT/CEO
55-550 NANILOA LOOP
LAIE HI 96762-1238

Officer/Director/Trustee Two

BLANCH LINTON
DIRECTOR AND SECRETARY
10 NORTHRIDGE LANE
SANDY UT 84092-4902

Officer/Director/Trustee Three

WILLIAM NEAL
DIRECTOR AND TREASURER/CFO
2244 HUNTER DR
SARATOGA SPRINGS UT 84045-6401

Officer/Director/Trustee Four

LESLIE GEORGE HARPER
DIRECTOR
53-567 KAMEHAMEHA HWY
HAUULA HI 96717-9650

Organization’s website
Organization’s email BLANCH.LINTON@SCHOOLIMPROVEMENT.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/5/2014
Organization Incorporation State UT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Q12 - Fund Raising and/or Fund Distribution
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 No
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 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
Signature Title
Signature Date

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