FORM 1023-EZ for SOUL AND BODY INITIATIVES

Field Data
EIN 20-0089702
Case Number EO-2014225-000342
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SOUL AND BODY INITIATIVES
Organization’s Mailing Address 12401 HOLBORN AVE
City CLEVELAND
State OH
ZIP 44105
Accounting period End 4
Primary contact name SCHERETTA JEFFRIES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

SCHERETTA JEFFRIES
DIRECTOR/TRUSTEE
12401 HOLBORN AVE
CLEVELAND OH 44105

Officer/Director/Trustee Two

MARYUM KNOX
TRUSTEE
11810 CROMWELL
CLEVELAND OH 44120

Officer/Director/Trustee Three

JOYCE SEAVERS
TRUSTEE
924 CLINTON
SOUTH EUCLID OH 44118

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/8/2004
Organization Incorporation State OH
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: Yes
Educational: Yes
Scientific: Yes
Literary: Yes
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 Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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