FORM 1023-EZ for TALITHA KOUM INC

Field Data
EIN 86-3671661
Case Number EO-2021155-000033
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name TALITHA KOUM INC
Organization’s Mailing Address 37 MALVERN LANE APT 11
City SMYRNA
State DE
ZIP 19977
Accounting period End 12
Primary contact name KANEISHA JERNIGAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KANEISHA JERNIGAN
PRESIDENT
37 MALVERN LANE APT 11
SMYRNA DE 19977

Officer/Director/Trustee Two

MARY ACREE
TREASURER
37 MALVERN LANE APT 11
SMYRNA DE 19977

Officer/Director/Trustee Three

STACEY JOHNSON
SECRETARY
37 MALVERN LANE APT 11
SMYRNA DE 19977

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/10/2021
Organization Incorporation State DE
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P99 - Human Services - Multipurpose and Other N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name KANEISHA JERNIGAN
Signature Title PRESIDENT
Signature Date 6/2/2021

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