FORM 1023-EZ for HARI SIMRAN FOUNDATION

Field Data
EIN 47-4152209
Case Number EO-2016165-000330
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HARI SIMRAN FOUNDATION
Organization’s Mailing Address 1A GURU RAM DAS PLACE
City ESPANOLA
State NM
ZIP 87532
Accounting period End 12
Primary contact name EMILY SMITH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

EMILY SMITH
PRESIDENT
229 GAMBETTA ST
DALY CITY CA 94014

Officer/Director/Trustee Two

DHARAM KHALSA
SECRETARY
607A NW 85TH ST
SEATTLE WA 98117

Officer/Director/Trustee Three

SATJAGAT KHALSA
VICE-PRESIDENT
473 13TH ST
BROOKLYN NY 11215

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/28/2015
Organization Incorporation State NM
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T50 - Philanthropy, Charity, Voluntarism Promotion, General
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 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
Signature Title
Signature Date

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