FORM 1023-EZ for AGAPE MANIFESTED INC

Field Data
EIN 84-2151826
Case Number EO-2019311-000058
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name AGAPE MANIFESTED INC
Organization’s Mailing Address 9708 GILSEPSIE ST STE 104
City LAS VEGAS
State NV
ZIP 89183
Accounting period End 12
Primary contact name KONYE AGBAHIWE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KONYE AGBAHIWE
PRESIDENT
3231 E 67TH WAY
LONG BEACH CA 90805

Officer/Director/Trustee Two

TRAVIS SCLOTTERBECK
TREASURER
10140 ARTESIA PL
BELLFLOWER CA 90706

Officer/Director/Trustee Three

CARMELIA BATTLE
SECRETARY
3350 E 7TH ST APT 120
LONG BEACH CA 90804

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/14/19
Organization Incorporation State NV
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 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 KONYE AGBAHIWE
Signature Title PRESIDENT
Signature Date 11/5/19

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