| Field | Data |
|---|---|
| EIN | 86-3297611 |
| Case Number | EO-2021230-000406 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | SURGICAL LEADERS FOUNDATION |
| Organization’s Mailing Address | 42140 BLACK HILLS PL |
| City | ALDIE |
| State | VA |
| ZIP | 20105 |
| Accounting period End | 12 |
| Primary contact name | KIMBERLY JOSEPH |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
KIMBERLY JOSEPH
DIRECTOR TREASURER
42140 BLACK HILLS PL
ALDIE VA 20105
MICHAEL GREEN
DIRECTOR PRESIDENT
119 WESTON LN
SOUTHLAKE TX 76092
WENDY GREENE
DIRECTOR VICE PRESIDENT
1241 ZIMMER DR NE
ATLANTA GA 30306
DAVID JACOBS
DIRECTOR
634 WACO ST
CHARLOTTE NC 28204
RONDA HENRY TILLMAN
DIRECTOR
4301 W MARKHAM ST SUITE 520-1
LITTLE ROCK AR 72205
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 3/23/2021 |
| Organization Incorporation State | MD |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | G03 - Professional Societies, Associations |
| 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 | 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 | KIMBERLY JOSEPH |
| Signature Title | DIRECTOR TREASURER |
| Signature Date | 8/16/2021 |
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