FORM 1023-EZ for SAMBHALI US INC

Field Data
EIN 84-2288467
Case Number EO-2019284-000054
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SAMBHALI US INC
Organization’s Mailing Address 100 GRANT AVENUE
City TAKOMA PARK
State MD
ZIP 20912-4327
Accounting period End 12
Primary contact name SHEREEN ARENT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHEREEN ARENT
PRESIDENT
100 GRANT AVENUE
TAKOMA PARK MD 20912-4327

Officer/Director/Trustee Two

ESTHER PUJOL RODRIQUEZ
TREASURER
100 GRANT AVENUE
TAKOMA PARK MD 20912-4327

Officer/Director/Trustee Three

ELEANOR BRTVA
VICE PRESIDENT
100 GRANT AVENUE
TAKOMA PARK MD 20912-4327

Officer/Director/Trustee Four

AMANDA FRISCO
SECRETARY
100 GRANT AVENUE
TAKOMA PARK MD 20912-4327

Officer/Director/Trustee Five

NICOLE KARPUS
DIRECTOR
100 GRANT AVENUE
TAKOMA PARK MD 20912-4327

Organization’s website SAMBHALIUS.ORG
Organization’s email SAMBHALIUS@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/2/19
Organization Incorporation State MD
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Q33 - International Relief
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 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 SHEREEN ARENT
Signature Title PRESIDENT
Signature Date 10/7/19

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