FORM 1023-EZ for SAMAWADAAG FOUNDATION

Field Data
EIN 83-3170242
Case Number EO-2019036-000243
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SAMAWADAAG FOUNDATION
Organization’s Mailing Address 30228 MILITARY ROAD S
City FEDERAL WAY
State WA
ZIP 98003
Accounting period End 6
Primary contact name MOHAMED ALI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

HAJI GURE OLOW
PRESIDENT
2131 ELM HILL PIKE APT G151
NASHVILLE TN 37210

Officer/Director/Trustee Two

MOHAMED ALI
VICE PRESIDENT
30228 MILITARY ROAD S
FEDERAL WAY WA 98003

Officer/Director/Trustee Three

YAHYE MOHAMUD
SECRETERY
30228 MILITARY ROAD S
FEDERAL WAY WA 98003

Officer/Director/Trustee Four

KHADIJO AHMED
MEMBER
3433 E MCDOWELL ROAD
PHOENIX AZ 85008

Officer/Director/Trustee Five

SAHRO WARFA
MEMBER
74 SUMNER ST EAST
BOSTON MA 22128

Organization’s website N/A
Organization’s email ABUSUHEYB@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/10/18
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S99 - Community Improvement, Capacity Building N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
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 MOHAMED ALI
Signature Title VICE PRESIDENT
Signature Date 1/16/19

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