FORM 1023-EZ for TEEN SUICIDE PREVENTION SOCIETY INC

Field Data
EIN 85-0630760
Case Number EO-2020195-000880
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name TEEN SUICIDE PREVENTION SOCIETY INC
Organization’s Mailing Address 1748 CHIMNEY COURT
City SARASOTA
State FL
ZIP 34235
Accounting period End 12
Primary contact name CHRISTINA M LEE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JACKIE SIMMONS
PRESIDENT/DIRECTOR
1748 CHIMNEY COURT
SARASOTA FL 34235

Officer/Director/Trustee Two

ANDREW CARDONE
DIRECTOR
5547 MERRIMAC DRIVE
SARASOTA FL 34231

Officer/Director/Trustee Three

SHEVELLE MCPHERSON
DIRECTOR
811 CHRUCH ROAD - 105
CHERRY HILL NJ 08002

Officer/Director/Trustee Four

CHRISTINA LEE
DIRECTOR
305 CHAUNCEY AVENUE
BRADENTON FL 34208

Organization’s website
Organization’s email JACKIE@JACKIESIMMONS.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/1/2020
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E70 - Public Health Program (Includes General Health and Wellness Promotion Services)
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 Yes
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 CHRISTINA LEE
Signature Title DIRECTOR
Signature Date 7/10/2020

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