FORM 1023-EZ for S AND P TRANSITIONAL LIVING INC

Field Data
EIN 84-4089512
Case Number EO-2020021-000251
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name S AND P TRANSITIONAL LIVING INC
Organization’s Mailing Address 1112 NEVADA AVE
City FORT WAYNE
State IN
ZIP 46805
Accounting period End 12
Primary contact name KEVIN SCHADICK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

STEPHANIE MARTIN
EXECUTIVE DIRECTOR
1112 NEVADA AVE
FORT WAYNE IN 46805

Officer/Director/Trustee Two

PERCY LASTER
DIRECTOR
1112 NEVADA AVE
FORT WAYNE IN 46805

Officer/Director/Trustee Three

DESTYNEE MARTIN
DIRECTOR
1112 NEVADA AVE
FORT WAYNE IN 46805

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/23/2019
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code L21 - Public Housing Facilities
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 STEPHANIE MARTIN
Signature Title EXECUTIVE DIRECTOR
Signature Date 1/16/2020

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