FORM 1023-EZ for FUSION LEADERS INC

Field Data
EIN 83-3692294
Case Number EO-2019056-000608
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FUSION LEADERS INC
Organization’s Mailing Address 265 SOUTH RANDOLPH AVENUE SUITE 250
City BREA
State CA
ZIP 92821-5701
Accounting period End 12
Primary contact name WILLIAM TOM
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

WILLIAM TOM
PRESIDENT
265 SOUTH RANDOLPH AVENUE SUITE 250
BREA CA 92821-5701

Officer/Director/Trustee Two

MICHAEL SILVIO
DIRECTOR / FINANCE
265 SOUTH RANDOLPH AVENUE SUITE 250
BREA CA 92821-5701

Officer/Director/Trustee Three

KENNETH AUGUST
DIRECTOR / COUNSEL
265 SOUTH RANDOLPH AVENUE SUITE 250
BREA CA 92821-5701

Officer/Director/Trustee Four

REBEKAH LEE
DIRECTOR OF OPERATIONS
265 SOUTH RANDOLPH AVENUE SUITE 250
BREA CA 92821-5701

Organization’s website WWW.FUSIONLEADERS.ORG
Organization’s email INFO@FUSIONLEADERS.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/28/19
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X03 - Professional Societies, Associations
Organization’s purpose Charitable: Yes
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 No
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 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 WILLIAM TOM
Signature Title PRESIDENT
Signature Date 2/22/19

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