FORM 1023-EZ for SKIN PER SE INC

Field Data
EIN 85-4179335
Case Number EO-2021035-000177
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SKIN PER SE INC
Organization’s Mailing Address 4931 HILLBROOK RD
City MEMPHIS
State TN
ZIP 38109
Accounting period End 12
Primary contact name TERICA FITZGERALD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TERICA FITZGERALD
CHAIRMAN
4931 HILLBROOK RD
MEMPHIS TN 38109

Officer/Director/Trustee Two

STEPHANIE HOLT
TREASURER
7611 PARKMONT AVE
MEMPHIS TN 38125

Officer/Director/Trustee Three

CORDELL STEWART
SECRETARY
3774 NEHEMIAH WAY
MEMPHIS TN 38125

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/15/2020
Organization Incorporation State TN
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: 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 No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name TERICA FITZGERALD
Signature Title CHAIRMAN
Signature Date 12/20/2020

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