FORM 1023-EZ for THE SENIOR PROM INC

Field Data
EIN 83-2415335
Case Number EO-2021078-000881
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE SENIOR PROM INC
Organization’s Mailing Address 151 SOUTH BISHOP AVENUE - APT P301
City SECANE
State PA
ZIP 19018
Accounting period End 12
Primary contact name TANYA GREEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TANYA GREEN
FOUNDER AND BOARD PRESIDENT
151 SOUTH BISHOP AVENUE - APT P301
SECANE PA 19018

Officer/Director/Trustee Two

SEMOY FRASER
BOARD SECRETARY
6531 WHEELER STREET
PHILADELPHIA PA 19142

Officer/Director/Trustee Three

DOROTHY SMITH
BOARD OF DIRECTOR
1452 SW 116TH AVENUE
PEMBROKE PINES FL 33025

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/29/2020
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Z99 - Unclassified
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: Yes
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 TANYA GREEN
Signature Title FOUNDER AND BOARD PRESIDENT
Signature Date 1/21/2021

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