FORM 1023-EZ for SOUL NOURISHMENT INC

Field Data
EIN 83-3726940
Case Number EO-2019084-000379
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SOUL NOURISHMENT INC
Organization’s Mailing Address 989 CYPRESS COVE WAY
City TARPON SPRINGS
State FL
ZIP 34688
Accounting period End 12
Primary contact name JULIET ADAMS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JULIET ADAMS
DIRECTOR AND PRESIDENT
989 CYPRESS COVE WAY
TARPON SPRINGS FL 34688

Officer/Director/Trustee Two

CAROLINE ADAMS
DIRECTOR, TREASURER AND SECRETARY
989 CYPRESS COVE WAY
TARPON SPRINGS FL 34688

Officer/Director/Trustee Three

PHOEBE MEKONNON
DIRECTOR AND VICE PRESIDENT
1314 RIVERSIDE DRIVE
TARPON SPRINGS FL 34689

Officer/Director/Trustee Four

KENT ALLISON
ASSISTANT SECRETARY
400 NORTH CENTER DR SUITE 212
NORFOLK VA 23502

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/28/19
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 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 KENT ALLISON
Signature Title ASSISTANT SECRETARY
Signature Date 3/21/19

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