FORM 1023-EZ for SAMSARAFEST

Field Data
EIN 84-2328926
Case Number EO-2019310-000249
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SAMSARAFEST
Organization’s Mailing Address 1214 GRIFFIN AVE
City ENUMCLAW
State WA
ZIP 98022
Accounting period End 6
Primary contact name TRAVIS BURT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LAKSHMI BURT
PRESIDENT, DIRECTOR
306 JEWELL ST
ENUMCLAW WA 98022

Officer/Director/Trustee Two

TRAVIS BURT
TREASURER, CFO
1214 GRIFFIN AVE
ENUMCLAW WA 98022

Officer/Director/Trustee Three

PRIYANKA LANGADE
CHAIRPERSON,
100 110TH AVE NE
BELLEVUE WA 98004

Officer/Director/Trustee Four

ERYN SLATER
DIRECTOR
3283 LOIS LN
ENUMCLAW WA 98022

Officer/Director/Trustee Five

LORI BURT
DIRECTOR
40229 298TH AVE SE
ENUMCLAW WA 98022

Organization’s website WWW.SAMSARAFEST.COM
Organization’s email INFO@SAMSARAFEST.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/5/19
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X70 - Hindu
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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 LAKSHMI BURT
Signature Title PRESIDENT, DIRECTOR
Signature Date 11/4/19

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