FORM 1023-EZ for L A COUNTY SAMOAN AMERICAN EMPLOYEES ASSOCIATION INC

Field Data
EIN 47-2011507
Case Number EO-2015190-000383
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name L A COUNTY SAMOAN AMERICAN EMPLOYEES ASSOCIATION INC
Organization’s Mailing Address 539 EAST 11TH STREET
City LONG BEACH
State CA
ZIP 90813
Accounting period End 12
Primary contact name TUNDE SHODIYA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

LOTO TAUFI
PRESIDENT
539 EAST 11TH STREET
LONG BEACH CA 90813

Officer/Director/Trustee Two

LINA OFISA
VICE PRESIDENT
603 WEST INDIGO ST
COMPTON CA 90220

Officer/Director/Trustee Three

MARTHA GARCIA
SECRETARY
3726 SISKIYOU ST
LOS ANGELES CA 90023

Officer/Director/Trustee Four

VAI TUITELE
TREASURER
1916 WEST WILLOW ST
LONG BEACH CA 90810

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/14/2014
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S20 - Community, Neighborhood Development, Improvement (General)
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 No
One Third Support Gifts Yes
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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