FORM 1023-EZ for LEADERS BY EXAMPLE INC

Field Data
EIN 45-3718107
Case Number EO-2015324-000260
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LEADERS BY EXAMPLE INC
Organization’s Mailing Address 1590 4TH ST
City BETHLEHEM
State PA
ZIP 18020
Accounting period End 12
Primary contact name MIKEL C BRABHAM
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MIKEL BRABHAM
DIRECTOR
1590 4TH ST
BETHLEHEM PA 18020

Officer/Director/Trustee Two

TIMEKA WHITEHEAD
DIRECTOR
222 MARSH PLACE
PLAINFIELD NJ 07060

Officer/Director/Trustee Three

RAMONA ARRINGTON
DIRECTOR
9452 LOCUST TERRACE
MANASSAS PARK VA 20111

Officer/Director/Trustee Four

LEKISHA CROUCH
DIRECTOR
6311 QUITMAN TRAIL
RALEIGH NC 27604

Officer/Director/Trustee Five

LATAJA LOVICKS
DIRECTOR
1210 NOVA AVE
CAPITOL HEIGHTS MD 20743

Organization’s website WWW.LEADERSBYEXAMPLE.ORG
Organization’s email INFO@LEADERSBYEXAMPLE.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/28/2011
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W99 - Public, Society Benefit - Multipurpose and Other N.E.C.
Organization’s purpose Charitable: No
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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