FORM 1023-EZ for SAMS MISSION FOR LIBERIA

Field Data
EIN 85-3133400
Case Number EO-2020282-000234
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SAMS MISSION FOR LIBERIA
Organization’s Mailing Address 1405 VETERANS HIGHWAY APARTMENTJ10
City BRISTOL
State PA
ZIP 19007
Accounting period End 12
Primary contact name NATHANIEL GOUN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SAMUEL FAYIAH
FOUNDER AND PRESIDENT
1405 VETERANS HIGHWAY APARTMENTJ10
BRISTOL PA 19007

Officer/Director/Trustee Two

CHRIS NATALINI
SECRETARY
123 NORTHPARK DR
LEVITTOWN PA 19054

Officer/Director/Trustee Three

ASHLEY NATALINI
TREASURER
123 NORTHPARK DR
LEVITTOWN PA 19054

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/2/2020
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P30 - Children's, Youth Services
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 SAMUEL FAYIAH
Signature Title FOUNDER AND PRESIDENT
Signature Date 10/6/2020

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