FORM 1023-EZ for SAMBA N MOTION

Field Data
EIN 82-3112541
Case Number EO-2021152-000138
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SAMBA N MOTION
Organization’s Mailing Address 8717 SOUTH 10TH AVE
City INGLEWOOD
State CA
ZIP 90305
Accounting period End 12
Primary contact name ANA CARLA LAIDLEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANA CARLA LAIDLEY
PRESIDENT
8717 SOUTH 10TH AVE
INGLEWOOD CA 90305

Officer/Director/Trustee Two

MARIANA IBRAHIN
VICE PRESIDENT
8717 SOUTH 10TH AVE
INGLEWOOD CA 90305

Officer/Director/Trustee Three

KEITH THOMAS LAIDLEY
TREASURER
8717 SOUTH 10TH AVE
INGLEWOOD CA 90305

Officer/Director/Trustee Four

ANGELA LOYD
SECRETARY
8600 MELSHIRE DR
AUSTIN TX 78757

Officer/Director/Trustee Five

KAREN BLACKWELL
DIRECTOR
3815 FLORESTA WAY
VIEW PARK CA 90043

Organization’s website
Organization’s email SAGECS@ATT.NET
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/4/2017
Organization Incorporation State CA
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: No
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 Yes
Conducting Activities Outside of United States Yes
Financial transactions with officers No
Unrelated Gross Income $1,000 or More Yes
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 ANA CARLA LAIDLEY
Signature Title PRESIDENT
Signature Date 5/28/2021

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