FORM 1023-EZ for SAMARITAN CAPITAL FOUNDATION

Field Data
EIN 85-1534685
Case Number EO-2020317-000739
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SAMARITAN CAPITAL FOUNDATION
Organization’s Mailing Address 170 S LINCOLN ST STE 150
City SPOKANE
State WA
ZIP 99201
Accounting period End 1
Primary contact name JONATHAN KUMAR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JONATHAN KUMAR
PRESIDENT/DIRECTOR
901 24TH AVE S
SEATTLE WA 98144

Officer/Director/Trustee Two

JESSICA MCCOY
TREASURER/DIRECTOR
2020 E MADISON ST
SEATTLE WA 98122

Officer/Director/Trustee Three

MICHAEL GRABHAM
DIRECTOR
2819 33RD AVE S
SEATTLE WA 98122

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/15/2020
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F12 - Fund Raising and/or Fund Distribution
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 Yes
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 JONATHAN KUMAR
Signature Title PRESIDENT/DIRECTOR
Signature Date 11/10/2020

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