FORM 1023-EZ for SEMBRAMOS

Field Data
EIN 83-3562985
Case Number EO-2020295-000761
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SEMBRAMOS
Organization’s Mailing Address 1921 ESSEX CIR
City NORWALK
State IA
ZIP 50211-9712
Accounting period End 12
Primary contact name KRYSTAL ATHA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KRYSTAL ATHA
EXECUTIVE DIRECTOR
1921 ESSEX CIRCLE
NORWALK IA 50211-9712

Officer/Director/Trustee Two

NIKKI BLACKSMITH
BOARD TREASURER
1709 21 STREET NW
WASHINGTON DC 20009-1112

Officer/Director/Trustee Three

JENNIFER TRESS
BOARD PRESIDENT
493 NORTH MAIN STREET
ASHLAND OR 97520-1749

Officer/Director/Trustee Four

DANIEL HINKLE
BOARD SECRETARY
2600 ESPERANZA XING
AUSTIN TX 78758-2112

Organization’s website SEMBRAMOS.ORG
Organization’s email KC@SEMBRAMOS.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/13/2019
Organization Incorporation State IA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code R30 - Intergroup, Race Relations
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 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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name KRYSTAL ATHA
Signature Title EXECUTIVE DIRECTOR
Signature Date 10/14/2020

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