FORM 1023-EZ for SISTERHERMANA FOUNDATION INC

Field Data
EIN 46-4061073
Case Number EO-2017333-000325
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SISTERHERMANA FOUNDATION INC
Organization’s Mailing Address 1604 EAST 15TH STREET
City JACKSONVILLE
State FL
ZIP 23306
Accounting period End 6
Primary contact name VERONICA GLOVER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

VERONICA GLOVER
EXECUTIVE DIRECTOR
1604 EAST 15TH STREET
JACKSONVILLE FL 32206

Officer/Director/Trustee Two

PATRICIA WASHINGTON
ASSISTANT DIRECTOR
5821 MINERSPOINT CT
JACKSONVILLE FL 32218

Officer/Director/Trustee Three

K MILLER
DIRECTOR OF FINANCE
120 KING STREET
JACKSONVILLE FL 32204

Officer/Director/Trustee Four

COREY WILBORN
TRUSTEE
100 MAGNOLIA STREET
JACKSONVILLE FL 32204

Officer/Director/Trustee Five

RODNEY JOHNSON
PARLINMENTARIAN
1861 RHONE DRIVE
JACKSONVILLE FL 32218

Organization’s website WWW.SISTERHERMANA.ORG
Organization’s email VERONICAGLOVER@SISTERHERMANA.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/26/2014
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G30 - Cancer
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 Yes
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date
EIN 46-4061073
Case Number EO-2015002-000301
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SISTERHERMANA FOUNDATION INC
Organization’s Mailing Address 10227 SHOREVIEW DR N
City JACKSONVILLE
State FL
ZIP 32218
Accounting period End 12
Primary contact name VERONICA GLOVER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

VERONICA GLOVER
CEO
10227 SHOREVIEW DR N
JACKSONVILLE FL 32218

Officer/Director/Trustee Two

ANGELA WALKER
SECRETARY
10227 SHOREVIEW DR N
JACKSONVILLE FL 32218

Officer/Director/Trustee Three

NOEMI KAMINOWITZ
TREASURER
10227 SHOREVIEW DR N
JACKSONVILLE FL 32218

Officer/Director/Trustee Four

ADRIANNE MARTIN
DIRECTOR
10227 SHOREVIEW DR N
JACKSONVILLE FL 32218

Officer/Director/Trustee Five

PATRICIA WASHINGTON
VP
10227 SHOREVIEW DR N
JACKSONVILLE FL 32218

Organization’s website WWW.SISTERHERMANA.ORG
Organization’s email SISTERHERMANAUSA@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/26/2014
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E86 - Patient Services - Entertainment, Recreation
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 Yes
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
Signature Title
Signature Date

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