FORM 1023-EZ for SIBLINGS HELPING ADULTS AND YOUTH

Field Data
EIN 47-3674101
Case Number EO-2015103-000148
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SIBLINGS HELPING ADULTS AND YOUTH
Organization’s Mailing Address 623 MELLON STREET SE
City WASHINGTON
State DC
ZIP 20032
Accounting period End 12
Primary contact name TONYA MARTIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

LATONJA MARTIN
PRESIDENT
9619 GEENA NICOLE DRIVE
CLINTON MD 20735

Officer/Director/Trustee Two

ERIC MCCOIN
EXECUTIVE DIRECTOR
421 SARAH DRIVE
CLARKSVILLE TN 37042

Officer/Director/Trustee Three

DAVID CARRERA
VICE PRESIDENT
2 PARK CREST
UPPER MARLBORO MD 20772

Officer/Director/Trustee Four

TAMARA HARRIS
BOARD MEMBER
502 XENIA AVENUE
CAPITOL HEIGHTS MD 20743

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/19/2015
Organization Incorporation State DC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F70 - Mental Health Disorders
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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