FORM 1023-EZ for SELF-ESTEAM

Field Data
EIN 83-3122060
Case Number EO-2019036-000618
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SELF-ESTEAM
Organization’s Mailing Address PO BOX 353024
City TOLEDO
State OH
ZIP 43635
Accounting period End 7
Primary contact name ALEISHA JOHNSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ALEISHA JOHNSON
OUTREACH DIRECTOR
3348 ARLINGTON AVE 4
TOLEDO OH 43614

Officer/Director/Trustee Two

ANITRA JOHNSON
ACADEMIC DIRECTOR
3348 ARLINGTON AVE 4
TOLEDO OH 43614

Officer/Director/Trustee Three

JANAE MILLER
BUSINESS DEVELOPMENT DIRECTOR
4747 SCIOTO APT 102
TOLEDO OH 43615

Officer/Director/Trustee Four

MONIQUE MONTGOMERY
CREATIVE DIRECTOR
2317 AVONDALE
TOLEDO OH 43607

Officer/Director/Trustee Five

SADORA MONTGOMERY
DIVERSITY AND INCLUSION DIRECTOR
2225 NORTH REYNOLDS RD APT 11
TOLEDO OH 43615

Organization’s website
Organization’s email 1SELFI@MAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/11/19
Organization Incorporation State OH
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: No
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name ALEISHA JOHNSON
Signature Title OUTREACH DIRECTOR
Signature Date 1/18/19

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