FORM 1023-EZ for THE NAHUM SAMSON MEMORIAL FOUNDATION

Field Data
EIN 86-3978754
Case Number EO-2021154-000363
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE NAHUM SAMSON MEMORIAL FOUNDATION
Organization’s Mailing Address 2296 CHENAULT DR
City FRISCO
State TX
ZIP 75033
Accounting period End 12
Primary contact name HANA WOLDEAMANUEL PRESIDENT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

HANA WOLDEAMANUEL
PRESIDENT
2296 CHENAULT DR
FRISCO TX 75033

Officer/Director/Trustee Two

SAMSON GEBREMARIAM
TREASURER
2296 CHENAULT DR
FRISCO TX 75033

Officer/Director/Trustee Three

HIRUT WOLDEAMANUEL
SECRETARY
6300 FM423
FRISCO TX 75036

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/18/2021
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T30 - Public Foundations
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 Yes
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 HANA WOLDEAMANUEL
Signature Title PRESIDENT
Signature Date 6/2/2021

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