FORM 1023-EZ for SOULS SHOT PORTRAIT PROJECT

Field Data
EIN 84-4482993
Case Number EO-2020062-000359
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SOULS SHOT PORTRAIT PROJECT
Organization’s Mailing Address 8909 CARLISLE ROAD
City WYNDMOOR
State PA
ZIP 19038
Accounting period End 12
Primary contact name JO ANN MILES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LAURA MADELEINE
PRESIDENT& EXECUTIVE DIRECTOR
8909 CARLISLE RD
WYNDMOOR PA 19038-7957

Officer/Director/Trustee Two

JENNIFER COBURN
TREASURER & DIRECTOR
2401 PENNSYLVANIA AVE
PHILADELPHIA PA 19130-3010

Officer/Director/Trustee Three

ANN HARTZELL POLLACK
VICE PRESIDENT & DIRECTOR
8205 ARDLEIGH ST
PHILADELPHIA PA 19118-3413

Officer/Director/Trustee Four

JO ANN MILES
SECRETARY & DIRECTOR
523 JARDEN RD
WYNDMOOR PA 19038-8544

Officer/Director/Trustee Five

LISA DOMINIC
DIRECTOR
8629 FERNDALE ST
PHILADELPHIA PA 19115-4108

Organization’s website SOULSSHOTPORTRAITPROJECT.ORG
Organization’s email SOULSHOTPORTRAITPROJECT@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/16/2019
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A01 - Alliance/Advocacy Organizations
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 JO ANN MILES
Signature Title SECRETARY & DIRECTOR
Signature Date 2/28/2020

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