FORM 1023-EZ for SIGNED BY US INCORPORATED

Field Data
EIN 82-4371993
Case Number EO-2018071-000322
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SIGNED BY US INCORPORATED
Organization’s Mailing Address 20001 100 AVENUE
City HOLLIS
State NY
ZIP 11423
Accounting period End 12
Primary contact name KALEILA RICHARDS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KALEILA RICHARDS
CHIEF EXECUTIVE OFFICER
20001 100 AVENUE
HOLLIS NY 11423

Officer/Director/Trustee Two

HAYLEY CLARKE
CHIEF EXECUTIVE OFFICER
1592 ALLERTON AVENUE
BRONX NY 10469

Officer/Director/Trustee Three

AISHA JOHNSON
TREASURER
7603 GALVIN STREET
CHARLOTTE NY 28215

Organization’s website
Organization’s email SIGNEDBYUS17@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/9/18
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F99 - Mental Health, Crisis Intervention N.E.C.
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 Yes
Compensation of Officer director trustee Yes
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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name KALEILA RICHARDS
Signature Title CHIEF EXECUTIVE OFFICER
Signature Date 3/9/18

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