FORM 1023-EZ for EXPRESS URSELF URBAN CRISIS RESPONSE CENTER

Field Data
EIN 82-2945932
Case Number EO-2018256-000307
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name EXPRESS URSELF URBAN CRISIS RESPONSE CENTER
Organization’s Mailing Address 4570 FORD ROAD SUITE 2
City PHILA
State PA
ZIP 19131
Accounting period End 12
Primary contact name TERRY STARKS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHRISTINE SMITH
DIRECTOR
4570 FORD ROAD SUITE 2
PHILADELPHIA PA 19131

Officer/Director/Trustee Two

TERRY STARKS
DIRECTOR
4570 FORD ROAD SUITE 2
PHILA PA 19131

Officer/Director/Trustee Three

JESSICA LEWIS
ADMINISTRATOR
6630 GERMANTOWN AVE
PHILA PA 19119

Officer/Director/Trustee Four

OTTO VOIT
CO-DIRECTOR
6630 GERMANTOWN AVE
PHILA PA 19119

Officer/Director/Trustee Five

SHIRLEY RANDLEMAN
COMMUNITY ENGAGEMENT DIRECTOR
6630 GERMANTOWN AVE
PHILA PA 19119

Organization’s website
Organization’s email TERRYSTARKSEXPRESSURSELFUCRC@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/4/17
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code I44 - Prison Alternatives
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
Cruelty Prevention: Yes
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 Yes
Unrelated Gross Income $1,000 or More Yes
Gaming Activity No
Disaster relief assistance Yes
One Third Support Public No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name TERRY STARKS
Signature Title DIRECTOR
Signature Date 9/11/18

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