FORM 1023-EZ for SAMMI FOUNDATION INC

Field Data
EIN 86-2637684
Case Number EO-2021099-001238
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SAMMI FOUNDATION INC
Organization’s Mailing Address 3060 WEST TEMPLE AVENUE
City POMONA
State CA
ZIP 91766
Accounting period End 12
Primary contact name HSIAO WEI CHEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

HSIAO WEI CHEN
PRESIDENT
12986 ELM TREE LANE
CHINO HILLS CA 91709

Officer/Director/Trustee Two

YANG CHUAN CHEN
SECRETARY
11366 BLACK COLT LN
SAN DIEGO CA 92130

Officer/Director/Trustee Three

TERRY CHANG
TREASURER
12986 ELM TREE LANE
CHINO HILLS CA 91709

Officer/Director/Trustee Four

FENGYI CHIANG
OFFICER
1040 CORAL CIR
BREA CA 92821

Officer/Director/Trustee Five

STEPHEN WONG
OFFICER
1825 PEACEFUL HILLS ROAD
DIAMOND BAR CA 91789

Organization’s website
Organization’s email sammichen0412579@gmail.com
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/20/2021
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B80 - Student Services, Organizations of Students
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 HSIAO WEI CHEN
Signature Title PRESIDENT
Signature Date 3/19/2021

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