FORM 1023-EZ for AS SAMI FOUNDATION

Field Data
EIN 84-1964020
Case Number EO-2019190-000266
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name AS SAMI FOUNDATION
Organization’s Mailing Address 12814 BLACKBROOK LN
City HOUSTON
State TX
ZIP 77041
Accounting period End 12
Primary contact name ALI GHEEWALA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NASREEN GHEEWALA
OFFICER
12814 BLACKBROOK LN
HOUSTON TX 77041

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/3/19
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 Yes
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 Yes
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 NASREEN GHEEWALA
Signature Title OFFICER
Signature Date 7/5/19

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