FORM 1023-EZ for THE SAM AND LAURICE HACHEM FOUNDATION INC

Field Data
EIN 83-0779834
Case Number EO-2018158-000257
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE SAM AND LAURICE HACHEM FOUNDATION INC
Organization’s Mailing Address 601 N ASHLEY DRIVE 8TH FLOOR
City TAMPA
State FL
ZIP 33602-4343
Accounting period End 12
Primary contact name LAURICE HACHEM
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LAURICE HACHEM
PRESIDENT
601 N ASHLEY DR 8TH FLOOR
TAMPA FL 33602-4343

Officer/Director/Trustee Two

MECHELLE MEREDITH-EHARDT
VICE PRESIDENT
601 N ASHLEY DR 8TH FLOOR
TAMPA FL 33602-4343

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/18/12
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B82 - Scholarships, Student Financial Aid Services, Awards
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
Literary: Yes
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name LAURICE HACHEM
Signature Title PRESIDENT
Signature Date 6/5/18

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