FORM 1023-EZ for HARAMBE HUMANITARIAN

Field Data
EIN 82-5253202
Case Number EO-2019162-000152
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HARAMBE HUMANITARIAN
Organization’s Mailing Address 5414 W DAYBREAK PKWY C4 344
City SOUTH JORDAN
State UT
ZIP 84009
Accounting period End 12
Primary contact name MARILYN SORENSEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARILYN SORENSEN
PRESIDENT
C-4 344
SOUTH JORDAN UT

Officer/Director/Trustee Two

SAGE SORENSEN
DIRECTOR
PO BOX 1877
HAYFORK CA 96041

Officer/Director/Trustee Three

XAVIER SAITOTI DERE
DIRECTOR
4429 WEST 3650 SOUTH
WEST VALLEY CITY UT 84120

Organization’s website WWW.HARAMBEHUMANITARIAN.ORG
Organization’s email SUPPORT@HARAMBEHUMANITARIAN.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/17/18
Organization Incorporation State UT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P99 - Human Services - Multipurpose and Other N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: Yes
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 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 MARILYN SORENSEN
Signature Title PRESIDENT
Signature Date 6/9/19

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