FORM 1023-EZ for SYMBA CENTER

Field Data
EIN 84-3729902
Case Number EO-2019329-000221
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SYMBA CENTER
Organization’s Mailing Address 20601 US HWY 18 NUM 171
City APPLE VALLEY
State CA
ZIP 92307
Accounting period End 12
Primary contact name SHAWN SMITH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRIAN NYAMWANGE
CEO/PRESIDENT
20601 US HWY 18 NUM171
APPLE VALLEY CA 92307

Officer/Director/Trustee Two

VALERIE EMICK
SECRETARY
20601 US HWY 18 NUM171
APPLE VALLEY CA 92307

Officer/Director/Trustee Three

SHAWN SMITH
TREASURER
20601 US HWY 18 NUM171
APPLE VALLEY CA 92307

Officer/Director/Trustee Four

REGINA WEATHERSPOON BELL
BOARD DIRECTOR
20601 US HWY 18 NUM171
APPLE VALLEY CA 92307

Officer/Director/Trustee Five

KEVIN MAHANY
BOARD DIRECTOR
20601 US HWY 18 NUM171
APPLE VALLEY CA 92307

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/19/19
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E99 - Health - General and Rehabilitative N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
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 No
Correctness Declaration Yes
Signature Name SHAWN SMITH
Signature Title TREASURER
Signature Date 11/21/19

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