FORM 1023-EZ for GOSHEN HUMANITARIAN ORGANIZATION

Field Data
EIN 85-1576575
Case Number EO-2021141-000107
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name GOSHEN HUMANITARIAN ORGANIZATION
Organization’s Mailing Address 5120 S 98TH CT APT1
City OMAHA
State NE
ZIP 68123
Accounting period End 12
Primary contact name MARCEL KALONGA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARCEL KALONGA
PRESIDENT
5120 S 98TH CT APT1
OMAHA NE 68127

Officer/Director/Trustee Two

OLGA MWENENTANDDA
TREASURER
5527 S 31ST ST APT 4
LINCOLN NE 68516

Organization’s website WWW.GOSHENH.ORG
Organization’s email INFO@GOSHENH.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/15/2020
Organization Incorporation State NE
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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 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 Yes
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 MARCEL KALONGA
Signature Title PRESIDENT
Signature Date 5/15/2021

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