FORM 1023-EZ for THE SAMARITANS WAY

Field Data
EIN 81-3484984
Case Number EO-2016224-000430
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE SAMARITANS WAY
Organization’s Mailing Address 305 BELLE CHASE CT N
City FAIRHOPE
State AL
ZIP 36532
Accounting period End 12
Primary contact name DAWN HOWELL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DAWN HOWELL
DIRECTOR
305 BELLE CHASE CT N
FAIRHOPE AL 36532

Officer/Director/Trustee Two

PETER SIKOROWSKI
ARCHITECTURAL PROGRAMMING
404 OAK AVE
FAIRHOPE AL 36532

Officer/Director/Trustee Three

JAMES HART
PROFESSIONAL OVERSIGHT
13628 COUNTY RD 66
LOXLEY AL 36551

Officer/Director/Trustee Four

DALE MALUKE
TRANSPORTATION
13628 CO RD 66
LOXLEY AL 36532

Officer/Director/Trustee Five

TRACY GOENS
TREASURER
30379 MAURY CT
SPANISH FORT AL 36527

Organization’s website HTTP://WWW.THESAMARITANSWAYFOUNDATION.WEEBLY.COM
Organization’s email THESAMARITANSWAYFOUNDATION@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/15/2014
Organization Incorporation State AL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X20 - Christian
Organization’s purpose Charitable: Yes
Religious: Yes
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 No
Disaster relief assistance No
One Third Support Public No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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