FORM 1023-EZ for THE SANKOFA HEALING STUDIO

Field Data
EIN 83-0880823
Case Number EO-2018169-000512
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE SANKOFA HEALING STUDIO
Organization’s Mailing Address 116 W SHARPNACK STREET
City PHILADELPHIA
State PA
ZIP 19119
Accounting period End 12
Primary contact name JACQUELINE JOHNSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JACQUELINE JOHNSON
EXECUTIVE DIRECTOR
116 W SHARPNACK STREET
PHILADELPHIA PA 19119

Officer/Director/Trustee Two

KASIA ADAMIETZ
SECRETARY
3918 DECKER CIRCLE
SAN ANTONIO TX 78234

Officer/Director/Trustee Three

KANAE TAYLOR
TREASURER
3175 JFK BLVD APT 1202
PHILADELPHIA PA 19104

Officer/Director/Trustee Four

KHALIL TAYLOR
CHAIRPERSON
116 W SHARPNACK STREET
PHILADELPHIA PA 19119

Organization’s website
Organization’s email INFO@SANKOFAHEALINGSTUDIO.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/13/18
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F60 - Counseling, Support Groups
Organization’s purpose Charitable: Yes
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 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 JACQUELINE JOHNSON
Signature Title PRESIDENT
Signature Date 6/13/18

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