FORM 1023-EZ for SEATTLE TISI SANGAM

Field Data
EIN 46-4911182
Case Number EO-2019277-000403
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SEATTLE TISI SANGAM
Organization’s Mailing Address 21221 127TH PL SE
City KENT
State WA
ZIP 98031
Accounting period End 5
Primary contact name KARUNESHWARAN PILLAY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BAL RAM
PRESIDENT
21221 127TH PL SE
KENT WA 98031

Officer/Director/Trustee Two

KARUNESHWARAN PILLAY
TECHNICAL ADVISOR
28000 46TH AVE S
AUBURN WA 98001

Organization’s website WWW.SEATTLESANGAM.COM/
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/13/15
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A20 - Arts, Cultural Organizations - Multipurpose
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
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 Yes
Correctness Declaration Yes
Signature Name KARUNESHWARAN PILLAY
Signature Title TECHNICAL ADVISOR
Signature Date 9/30/19
EIN 46-4911182
Case Number EO-2015264-000438
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SEATTLE TISI SANGAM
Organization’s Mailing Address 21221 127TH PL SE
City KENT
State WA
ZIP 98031
Accounting period End 12
Primary contact name KARUN PILLAY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

BAL RAM
PRESIDENT
21221 127TH PL SE
KENT WA 98031

Officer/Director/Trustee Two

RUDRA SAMI
VICE PRESIDENT
17523 128TH AVE SE
RENTON WA 98058

Officer/Director/Trustee Three

NILESH GOUNDAR
SECRETARY
12722 SE 223RD DR
KENT WA 98031

Officer/Director/Trustee Four

KARUNESHWARAN PILLAY
TREASURER
28000 46TH AVE SOUTH
AUBURN WA 98001

Organization’s website HTTP://WWW.SEATTLESANGAM.ORG/
Organization’s email SEATTLESANGAM@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/19/2012
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A20 - Arts, Cultural Organizations - Multipurpose
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
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
Signature Title
Signature Date

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