FORM 1023-EZ for SIMONE SAYS

Field Data
EIN 82-0612541
Case Number EO-2017072-000378
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SIMONE SAYS
Organization’s Mailing Address 166 WYNDHAM HILL ROAD
City MIDDLETOWN
State RI
ZIP 02842
Accounting period End 12
Primary contact name SAMANTHA PLEZIA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SAMANTHA PLEZIA
DIRECTOR
166 WYNDHAM HILL ROAD
MIDDLETOWN RI 02842

Officer/Director/Trustee Two

LAUREN DAUKAUS
DIRECTOR
166 WYNDHAM HILL ROAD
MIDDLETOWN RI 02842

Officer/Director/Trustee Three

ELIZABETH TIMMONS
DIRECTOR
2520 CHANNING WAY
BEREKELEY CA 97104

Officer/Director/Trustee Four

MIRIAM SEFAMI
DIRECTOR
30 VIRGIL COURT
IRVINE CA 92617

Organization’s website SIMONESAYS.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/28/2017
Organization Incorporation State RI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
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 No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity Yes
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
Signature Title
Signature Date

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