FORM 1023-EZ for THE SALOME FOUNDATION

Field Data
EIN 83-1776287
Case Number EO-2018248-000069
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE SALOME FOUNDATION
Organization’s Mailing Address 1512 KINGSMILL CT
City COPPELL
State TX
ZIP 75019
Accounting period End 3
Primary contact name TALER JEFFERSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TALER JEFFERSON
PRESIDENT
1512 KINGSMILL CT
COPPELL TX 75019

Officer/Director/Trustee Two

DAVID JEFFERSON
DIRECTOR
1512 KINGSMILL CT
COPPELL TX 75019

Officer/Director/Trustee Three

NICHOLE JEFFERSON
DIRECTOR
5250 DAKOTA APT 1
WEST DES MOINES IA 50265

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/29/18
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S20 - Community, Neighborhood Development, Improvement (General)
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 TALER JEFFERSON
Signature Title PRESIDENT
Signature Date 9/3/18

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