FORM 1023-EZ for SURVIVING SICKLE CELL WITH THERESA

Field Data
EIN 83-2122658
Case Number EO-2018284-000152
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SURVIVING SICKLE CELL WITH THERESA
Organization’s Mailing Address 2419 LITTLE CURRENT DR APT 1911
City HERNDON
State VA
ZIP 20171
Accounting period End 12
Primary contact name THERESA AWUNOR-TALBERT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

THERESA AWUNOR-TALBERT
PRESIDENT, DIRECTOR
2419 LITTLE CURRENT DR APT 1911
HERNDON VA 20171

Officer/Director/Trustee Two

TEMITOPE FALANA
SECRETARY, DIRECTOR
8720 AMBONNAY DR
BRENTWOOD TN 37027

Officer/Director/Trustee Three

JOHN HUHN
TREASURER, DIRECTOR
7515 COLSHIRE DR MS N450
MCLEAN VA 22102

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/2/18
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 Yes
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 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 THERESA AWUNOR-TALBERT
Signature Title PRESIDENT, DIRECTOR
Signature Date 10/9/18

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