FORM 1023-EZ for THREE SISTERS INSTITUTE

Field Data
EIN 47-3626618
Case Number EO-2015138-000195
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THREE SISTERS INSTITUTE
Organization’s Mailing Address 638 SPRUCE STREET
City PHILADELPHIA
State PA
ZIP 19106
Accounting period End 12
Primary contact name CLIFFORD C DAVID JR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JEFFREY MILLER
DIRECTOR PRESIDENT
638 SPRUCE STREET
PHILADELPHIA PA 19106

Officer/Director/Trustee Two

STEFAN DEWITT
DIRECTOR SECRETARY/TREASURER
638 SPRUCE STREET
PHILADELPHIA PA 19106

Officer/Director/Trustee Three

CLIFFORD C DAVID JR
DIRECTOR
638 SPRUCE STREET
PHILADELPHIA PA 19106

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/12/2015
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code K20 - Agricultural Programs
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
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
Signature Title
Signature Date

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