FORM 1023-EZ for SOUTHERN SUDAN LIFE SAVING MEDICALMISSION INC

Field Data
EIN 26-3584047
Case Number EO-2014265-000202
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SOUTHERN SUDAN LIFE SAVING MEDICALMISSION INC
Organization’s Mailing Address 1915 SCHLOTTER CIRCLE UNIT 204
City HOLIDAY
State FL
ZIP 34690
Accounting period End 12
Primary contact name ANITA FLOWERS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JOSEPH AKOK DENG
PRESIDENT
1915 SCHLOTTER CIRCLE UNIT 204
HOLIDAY FL 34690

Officer/Director/Trustee Two

TRICIA DIECK
VICE PRESIDENT
3411 W LYKES AVENUE
TAMPA FL 33609

Officer/Director/Trustee Three

ANITA FLOWERS
SECRETARY
4052 DAVENTRY LANE
PALM HARBOR FL 34685

Officer/Director/Trustee Four

LINDA RUESCHER
DIRECTOR
3325 BAYSHORE BLVD UNIT D 33
TAMPA FL 33629

Organization’s website SAVINGSOUTHERNSUDAN.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/9/2008
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Q30 - International Development, Relief Services
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
Scientific: Yes
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 Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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