FORM 1023-EZ for SEATTLE WA AMCHIGELE SAMAJ

Field Data
EIN 81-0804730
Case Number EO-2016034-000202
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SEATTLE WA AMCHIGELE SAMAJ
Organization’s Mailing Address 23821 SE 5TH ST
City SAMMAMISH
State WA
ZIP 98074
Accounting period End 12
Primary contact name RAVI PAI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

RAVI PAI
PRESIDENT
23821 SE 5TH ST
SAMMAMISH WA 98074

Officer/Director/Trustee Two

ANUPAMA SRIPATHI
VP
21017 SE 35TH PLACE
SAMMAMISH WA 98075

Officer/Director/Trustee Three

SUJATHA SHENAI
VP
209 141 AVE NE
BELLEVUE WA 98007

Officer/Director/Trustee Four

PALLAVI BHANDARKAR
SECRETARY
6702 139TH AVE NE APT 752
REDMOND WA 98052

Officer/Director/Trustee Five

DIVYA MALLAR
TREASURER
2123 250TH PL SE
SAMMAMISH WA 98075

Organization’s website WWW.SWAS.US
Organization’s email PRESIDENT@SWAS.US
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/1/2016
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A23 - Cultural, Ethnic Awareness
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 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 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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