FORM 1023-EZ for STREET SAVIOR FOUNDATION

Field Data
EIN 85-2053841
Case Number EO-2020209-000646
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name STREET SAVIOR FOUNDATION
Organization’s Mailing Address 4509 MORGAN ST
City CHARLOTTE
State NC
ZIP 28208
Accounting period End 12
Primary contact name DEMETRIUS ROSS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DEMETRIUS ROSS
DIRECTOR
1600 WESTSTONE DR
CHARLOTTE NC 28208

Officer/Director/Trustee Two

ANTWAN SCOTT
PRESIDENT
8526 MINERAL RIDGE WAY
CHARLOTTE NC 28269

Officer/Director/Trustee Three

TARJI GOODEN
SECRETARY
3005 HUNTERS CREEK CT
CHARLOTTE NC 28269

Officer/Director/Trustee Four

KAREN ROSS
TREASURER
1251 LONG ACRE DR
LOGANVILE GA 30052

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/20/2020
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B60 - Adult, Continuing Education
Organization’s purpose Charitable: No
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 DEMETRIUS ROSS
Signature Title DIRECTOR
Signature Date 7/20/2020

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