FORM 1023-EZ for THE GIRL WHO LIVED INC

Field Data
EIN 81-2735290
Case Number EO-2016160-000286
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE GIRL WHO LIVED INC
Organization’s Mailing Address 10148 BIRD RIVER ROAD
City BALTIMORE
State MD
ZIP 21220-1528
Accounting period End 12
Primary contact name CHARLENA SMITH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

CHARLENA SMITH
CEO-DIRECTOR
10148 BIRD RIVER ROAD
BALTIMORE MD 21220-1528

Officer/Director/Trustee Two

SARAH BOLLARD
SECRETARY
303 NORTHWAY COURT
REISTERSTOWN MD 21136-2123

Officer/Director/Trustee Three

ALYCE DAILEY
CHIEF OPERATING OFFICER (COO)
8911 RICKY TREVOR ROAD
PERRY HALL MD 21128-9821

Officer/Director/Trustee Four

JEFFREY SCOTT SMITH
CHIEF FINANCIAL OFFICER (CFO)
10148 BIRD RIVER ROAD
BALTIMORE MD 21220-1528

Officer/Director/Trustee Five

MICHELLE TAMBURELLO
CHIEF MARKETING OFFICER (CMO)
15249 MIMOSA TRAIL
MONTCLAIR VA 22025-1073

Organization’s website WWW.THEGIRLWHOLIVED.ORG
Organization’s email CHARLENA.SMITHS@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/24/2016
Organization Incorporation State MD
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T01 - Alliance/Advocacy Organizations
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 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
Signature Title
Signature Date

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