FORM 1023-EZ for THE SERVANT LEADER ACADEMY OF SPORTS AND WELLNESS

Field Data
EIN 46-4185391
Case Number EO-2014272-000154
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE SERVANT LEADER ACADEMY OF SPORTS AND WELLNESS
Organization’s Mailing Address 3 GOLF CENTER 173
City HOFFMAN ESTATES
State IL
ZIP 60169
Accounting period End 12
Primary contact name SABRINA RICHARDS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

SABRINA RICHARDS
PRESIDENT
1939 SONG SPARROW CT
SCHAUMBURG IL 60173

Officer/Director/Trustee Two

FANISHA DAVIS
TREASURER
1501 E CENTRAL RD UNIT 308
ARLINGTON HEIGHTS IL 60005

Officer/Director/Trustee Three

LAMARIO RICHARDS
VICE PRESIDENT
4425 LINWOOD CT APT 12
INDIANAPOLIS IN 46201

Officer/Director/Trustee Four

TAMMI WALKER
SECRETARY
2209 ARBOR CIRCLE DRIVE 26
DOWNERS GROVE IL 60515

Organization’s website
Organization’s email SABRINA.RICHARDS@SERVANT-LEADER-ACADEMY.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/14/2014
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee Yes
Donation of funds Yes
Conducting Activities Outside of United States No
Financial transactions with officers Yes
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
Signature Title
Signature Date

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