FORM 1023-EZ for SAMOAN NURSES ORGANIZATION IN WASHINGTON
| Field | Data |
|---|---|
| EIN | 36-4677685 |
| Case Number | EO-2021265-000461 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | SAMOAN NURSES ORGANIZATION IN WASHINGTON |
| Organization’s Mailing Address | 716 E 56TH STREET C |
| City | TACOMA |
| State | WA |
| ZIP | 98404 |
| Accounting period End | 4 |
| Primary contact name | SINIVA DRIGGERS |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
SINIVA DRIGGERS
CEO
32115 26TH AVE SW
FEDERAL WAY WA 98023
Officer/Director/Trustee Two
TOFU ASAELI
CHAIRMAN
9431 S I ST
TACOMA WA 98444-4226
Officer/Director/Trustee Three
AIGA IA
MEMBER
19217 SE 259TH PL
COVINGTON WA 98042
Officer/Director/Trustee Four
SHANDY DALEY
MEMBER
17615 73RD AVE CT E
PUYALLUP WA 98375
Officer/Director/Trustee Five
TAU MOLIGA
MEMBER
1113 TACOMA AVE S
TACOMA WA 98445
| Organization’s website | WWW.PIHA-NW.ORG |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 10/4/2010 |
| Organization Incorporation State | WA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | E90 - Nursing Services (General) |
| Organization’s purpose | Charitable: No 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 | No |
| One Third Support Gifts | Yes |
| Benefit of College | No |
| Private Foundation 508(e) | No |
| Seeking Retroactive Reinstatement | No |
| Seeking Section 7 Reinstatement | Yes |
| Correctness Declaration | Yes |
| Signature Name | SINIVA DRIGGERS |
| Signature Title | CEO |
| Signature Date | 9/20/2021 |
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