FORM 1023-EZ for QUEEN IAM

Field Data
EIN 83-0719325
Case Number EO-2020195-000309
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name QUEEN IAM
Organization’s Mailing Address 11818 LEEILA AVE
City CLEVELAND
State OH
ZIP 44135
Accounting period End 12
Primary contact name DAMEYONNA WILLIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KIM HEREFORD
VICE PRESIDENT
17802 MAPLE HEIGHTS BLVD
MAPLE OH 44113

Officer/Director/Trustee Two

JAMAL NASH
ASSISTANT DIRECTOR
14210 VIOLA AVE
CLEVELAND OH 44111

Officer/Director/Trustee Three

ALICIA JORDAN
TREASURY
14106 KENNERDOWN AVE
MAPLE OH 44137

Officer/Director/Trustee Four

CRYSTAL HEREFORD
SECTARY
17536 LAKESHORE
CLEVELAND OH 44119

Officer/Director/Trustee Five

DAMEYONNA WILLIS
PRESIDENT/ DIRECTOR
11818 LEEILA AVE
CLEVELAND OH 44135

Organization’s website HTTP://QUEENIAMGIRLEMPOWE.WIXSITE.COM/CROWN
Organization’s email QUEENIAMGIRLEMPOWER@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/31/2018
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
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 DAMEYONNA WILLIS
Signature Title PRESIDENT/ DIRECTOR
Signature Date 6/8/2020

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