FORM 1023-EZ for PHILLIS PLACE

Field Data
EIN 83-2807273
Case Number EO-2019030-000336
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PHILLIS PLACE
Organization’s Mailing Address 496 W DEER PARK RD
City GAITHERSBURG
State MD
ZIP 20877
Accounting period End 4
Primary contact name EDIDIONG PESSU
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

EDIDIONG PESSU
DIRECTOR
496 W DEER PARK RD
GAITHERSBURG MD 20877

Officer/Director/Trustee Two

SHAKEYA ELLIS
DIRECTOR
2500 QUEENS CHAPEL RD
HYATTSVILLE MD 20782

Officer/Director/Trustee Three

OLIVIA HILL
DIRECTOR
4650 SOUTHLAND AVE
ALEXANDRIA VA 22312

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/11/18
Organization Incorporation State MD
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code L40 - Low-Cost Temporary Housing
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 Yes
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 EDIDIONG PESSU
Signature Title DIRECTOR
Signature Date 12/24/18

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