FORM 1023-EZ for SEMENTINE DISASTER RELIEF CORPORATION

Field Data
EIN 85-0810889
Case Number EO-2020209-000804
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SEMENTINE DISASTER RELIEF CORPORATION
Organization’s Mailing Address 12037 MALVA PL
City LAS VEGAS
State NV
ZIP 89138
Accounting period End 12
Primary contact name RAMIN NAHORAOF
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PIOTR TOMASIK
PRESIDENT
12037 MALVA PL
LAS VEGAS NV 89138

Officer/Director/Trustee Two

DANIEL STEELE
SECRETARY/TREASURER
4180 DUSTIN AVE
LAS VEGAS NV 89120

Officer/Director/Trustee Three

HEATHER BROWN
DIRECTOR
2516 HIGH ST SE
LAS VEGAS NV 89128

Officer/Director/Trustee Four

MICHAEL DEADDER
DIRECTOR
55 PERRY ST APARTMENT 6K
NEW YORK NY 10014

Officer/Director/Trustee Five

CASSANDRA WRIGHT
DIRECTOR
2012 CLOVER PATH ST
LAS VEGAS NV 89128

Organization’s website HTTP://WWW.SEMENTINE.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/11/2020
Organization Incorporation State NV
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T70 - Fund Raising Organizations That Cross Categories
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 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 Yes
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 PIOTR TOMASIK
Signature Title PRESIDENT
Signature Date 7/21/2020

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