FORM 1023-EZ for SAM WILLIAMS FOUNDATION

Field Data
EIN 35-2605619
Case Number EO-2017279-000209
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SAM WILLIAMS FOUNDATION
Organization’s Mailing Address 18284-C EAST FLOYD AVE
City AURORA
State CO
ZIP 80013
Accounting period End 12
Primary contact name CHRISTINE AAS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHRISTINE AAS
SECRETARY/TREASURER
18283-C EAST FLOYD AVE
AURORA CO 80013

Officer/Director/Trustee Two

GLYNIS WILLIAMS-THOMPSON
PRESIDENT
18793 MITCHELL PLACE
DENVER CO 80249

Officer/Director/Trustee Three

MARY ETTA CURTIS
VICE-PRESIDENT
20366 EASAT 49TH AVENUE
DENVER CO 80249

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/11/2017
Organization Incorporation State CO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W12 - 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 No
Unrelated Gross Income $1,000 or More No
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
Signature Title
Signature Date

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