FORM 1023-EZ for SISTERS AT HEART

Field Data
EIN 36-4839730
Case Number EO-2016208-000316
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SISTERS AT HEART
Organization’s Mailing Address 6007 FINANCIAL PLAZA SUITE 5C
City SHREVEPORT
State LA
ZIP 71129
Accounting period End 12
Primary contact name SHACKQUIEL WILLIAMS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHEYNA WILLIAMS-PENNYWELL
DIRECTOR
6007 FINANCIAL PLAZA SUITE 5C
SHREVEPORT LA 71129

Officer/Director/Trustee Two

SHACKQUIEL WILLIAMS
PRESIDENT
6007 FINANCIAL PLAZA SUITE 5C
SHREVEPORT LA 71129

Officer/Director/Trustee Three

JACQUELINE POUNCY
TREASURER
6007 FINANCIAL PLAZA SUITE 5C
SHREVPORT LA 71129

Officer/Director/Trustee Four

REATA WILLIAMS
MEMBER
6007 FINANCIAL PLAZA SUITE 5C
SHREVEPORT LA 71129

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/15/2014
Organization Incorporation State LA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E86 - Patient Services - Entertainment, Recreation
Organization’s purpose Charitable: Yes
Religious: No
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 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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