FORM 1023-EZ for SPECIAL LIVES SERVICES

Field Data
EIN 84-2169045
Case Number EO-2019190-000179
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SPECIAL LIVES SERVICES
Organization’s Mailing Address 228 SOUTH BEND DRIVE
City DURHAM
State NC
ZIP 27713-6163
Accounting period End 12
Primary contact name STEFAN GREENLEE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

STEFAN GREENLEE
EXECUTIVE DIRECTOR
228 SOUTH BEND DRIVE
DURHAM NC 27713-6163

Officer/Director/Trustee Two

TALOU OSINOWO
BOARD OF DIRECTOR
206 BELL TOWER WAY
MORRISVILLE NC 27560-5517

Officer/Director/Trustee Three

EARNEST HUDSON
BOARD OF DIRECTOR
8203 RIVERPARK ROAD
BOWIE MD 20715-3366

Officer/Director/Trustee Four

FELTON FOUSHEE
BOARD OF DIRECTOR
1204 FARGO TRAIL
GREENSBORO NC 27406-4744

Officer/Director/Trustee Five

ALANA ALLEN
BOARD OF DIRECTOR
429 GUILFORD COLLEGE ROAD APT N
GREENSBORO NC 27409-2072

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/22/19
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P99 - Human Services - Multipurpose and Other N.E.C.
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 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 STEFAN GREENLEE
Signature Title EXECUTIVE DIRECTOR
Signature Date 7/4/19

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