FORM 1023-EZ for I AM MY SISTERS KEEPER

Field Data
EIN 37-1940510
Case Number EO-2019170-000158
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name I AM MY SISTERS KEEPER
Organization’s Mailing Address 211 BREAKERS EDGE CT
City STAFFORD
State VA
ZIP 22554
Accounting period End 12
Primary contact name ROBERT LEE PAYTON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHERYL WILLIAMS-PAYTON
PRESIDENT
211 BREAKERS EDGE CT
STAFFORD VA 22554

Officer/Director/Trustee Two

ANGELA TAYLOR-HOLLOMAN
SECRETARY
211 BREAKERS EDGE
STAFFORD VA 22554

Officer/Director/Trustee Three

ROBERT PAYTON
TREASURER
211 BREAKERS EDGE CT
STAFFORD VA 22554

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/5/19
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X99 - Religion Related, Spiritual Development N.E.C.
Organization’s purpose Charitable: Yes
Religious: Yes
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 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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name ROBERT PAYTON
Signature Title TREASURER
Signature Date 6/17/19

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