FORM 1023-EZ for SERVING WITH INTENTION INC

Field Data
EIN 85-2007186
Case Number EO-2020253-000199
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SERVING WITH INTENTION INC
Organization’s Mailing Address 5646 THOMAS AVENUE
City PHILADELPHIA
State PA
ZIP 19143
Accounting period End 12
Primary contact name SADE LANGA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SADE LANGA
EXECUTIVE DIRECTOR
5646 THOMAS AVENUE
PHILADELPHIA PA 19143

Officer/Director/Trustee Two

DELVIA BERRIAN
SECRETARY
5007 ROSEHILL STREET
PHILADELPHIA PA 19120

Officer/Director/Trustee Three

BROOKE WISE
TREASURER
6708 SOUDER STREET
PHILADELPHIA PA 19149

Officer/Director/Trustee Four

SYLVESTER LANGA
BOARD MEMBER
5646 THOMAS AVENUE
PHILADELPHIA PA 19143

Officer/Director/Trustee Five

DYNNAE BERRIAN
BOARD MEMBER
1729 S NAPA STREET
PHILADELPHIA PA 19145

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/23/2020
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S99 - Community Improvement, Capacity Building N.E.C.
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 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 SADE LANGA
Signature Title EXECUTIVE DIRECTOR
Signature Date 9/7/2020

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