FORM 1023-EZ for SAFAVIEH SOCIETY

Field Data
EIN 84-2442848
Case Number EO-2019220-000244
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SAFAVIEH SOCIETY
Organization’s Mailing Address 2727 E ANAHEIM ST UNIT 4364
City LONG BEACH
State CA
ZIP 90804
Accounting period End 12
Primary contact name JAMES JOHNSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JAMES JOHNSON
PRESIDENT/CEO
2727 E ANAHEIM ST UNIT 4364
LONG BEACH CA 90804

Officer/Director/Trustee Two

ASHLY GIPSON
VICE PRESIDENT
2727 E ANAHEIM ST UNIT 4364
LONG BEACH CA 90804

Officer/Director/Trustee Three

JABARI BRENT
SECRETARY
2727 E ANAHEIM ST UNIT 4364
LONG BEACH CA 90804

Officer/Director/Trustee Four

JELANI BRENT
TREASURER
2727 E ANAHEIM ST UNIT 4364
LONG BEACH CA 90804

Organization’s website
Organization’s email SAFAVIEHSOCIETY@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/2/19
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N40 - Sports Training Facilities, Agencies
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 Yes
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 JAMES JOHNSON
Signature Title PRESIDENT/CEO
Signature Date 8/6/19

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