| Field | Data |
|---|---|
| EIN | 80-0906744 |
| Case Number | EO-2016315-000325 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | SANKOFA BEHAVIORAL AND COMMUNITY HEALTH INC |
| Organization’s Mailing Address | 6400 GISHOLT DR STE 209 |
| City | MONONA |
| State | WI |
| ZIP | 53713 |
| Accounting period End | 12 |
| Primary contact name | VALERIE HENDERSON |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
VALERIE HENDERSON
DIRECTOR
7055 RESTON HEIGHTS
MADISON WI 53718
HENRIETTA SMOTHERS
OFFICER
8 BUFFINGTON COURT
LITTLE ROCK AR 53718
LORENZO SMITH
OFFICER
4771 CRINKLEPOINT CT
DOUGLASVILLE GA 30134
| Organization’s website | WWW.SANKOFABCH.ORG |
|---|---|
| Organization’s email | SANKOFABCH@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 1/13/2013 |
| Organization Incorporation State | WI |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | P46 - Family Counseling |
| Organization’s purpose | Charitable: Yes Religious: No Educational: Yes Scientific: Yes Literary: No Public Safety: No Amateur Sports: No Cruelty Prevention: Yes |
| Qualify For Exemption | No |
| Legislation influence | No |
| Compensation of Officer director trustee | Yes |
| Donation of funds | Yes |
| Conducting Activities Outside of United States | No |
| Financial transactions with officers | Yes |
| 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 | Yes |
| Seeking Section 7 Reinstatement | No |
| Correctness Declaration | Yes |
| Signature Name | |
| Signature Title | |
| Signature Date | |
| EIN | 80-0906744 |
| Case Number | EO-2014241-000106 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | SANKOFA BEHAVIORAL COMMUNITY HEALTH INC |
| Organization’s Mailing Address | 2810 CROSSROADS DR STE 4000 |
| City | MADISON |
| State | WI |
| ZIP | 53718 |
| Accounting period End | 12 |
| Primary contact name | VALERIE HENDERSON |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $400.00 |
VALERIE HENDERSON
DIRECTOR
2810 CROSSROADS DR STE 4000
MADISON WI 53718
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 1/4/2013 |
| Organization Incorporation State | WI |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | F01 - Alliance/Advocacy Organizations |
| Organization’s purpose | Charitable: Yes Religious: No Educational: Yes Scientific: Yes Literary: No Public Safety: No Amateur Sports: No Cruelty Prevention: Yes |
| 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 | Yes |
| Seeking Section 7 Reinstatement | No |
| Correctness Declaration | Yes |
| Signature Name | |
| Signature Title | |
| Signature Date |
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