FORM 1023-EZ for SAMIR KASSIR FOUNDATION AMERICA

Field Data
EIN 85-3145541
Case Number EO-2020269-000442
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SAMIR KASSIR FOUNDATION AMERICA
Organization’s Mailing Address 2200 PENNSYLVANIA AVE NW STE 4008E
City WASHINGTON
State DC
ZIP 20037
Accounting period End 12
Primary contact name CHARBEL MOARBES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PAUL SALEM
DIRECTOR
4501 CONNECTICUT AVE APT 1016
WASHINGTON DC 20008

Officer/Director/Trustee Two

LARA ALAMEH
DIRECTOR
3901 DAVANA ROAD
SHERMAN OAKS CA 91423

Officer/Director/Trustee Three

ROBERT FORSYTH
DIRECTOR
3814 ALTON PLACE NW
WASHINGTON DC 20016

Organization’s website HTTPS://SAMIRKASSIRFOUNDATION.ORG/
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/20/2020
Organization Incorporation State DC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code R11 - Single Organization Support
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: Yes
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 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 PAUL SALEM
Signature Title DIRECTOR
Signature Date 9/23/2020

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