FORM 1023-EZ for SPECIAL NEEDS SIBLINGS INC

Field Data
EIN 82-5104183
Case Number EO-2018197-000214
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SPECIAL NEEDS SIBLINGS INC
Organization’s Mailing Address 3050 FIVE FORKS TRICKUM RD D462
City LILBURN
State GA
ZIP 30047
Accounting period End 12
Primary contact name JENIECE STEWART
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JENIECE STEWART
CEO
5201 CLEARWATER DRIVE
STONE MOUNTAIN GA 30087

Officer/Director/Trustee Two

BRITTANY WALTON
SECRETARY
3230 MINERAL RIDGE COURT
STONE MOUNTAIN GA 30087

Officer/Director/Trustee Three

SARAH FUMERO
CFO
900 LEGACY PARK DR APT 633
LAWRENCEVILLE GA 30043

Organization’s website WWW.SPECIALNEEDSSIBLINGS.COM
Organization’s email SPECIALNEEDSSIBLINGS@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/7/18
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 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 JENIECE STEWART
Signature Title CEO
Signature Date 7/12/18

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