FORM 1023-EZ for SHE LIVES BEYOND

Field Data
EIN 81-4180434
Case Number EO-2017005-000170
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SHE LIVES BEYOND
Organization’s Mailing Address PO BOX 24188
City CHICAGO
State IL
ZIP 60624
Accounting period End 6
Primary contact name SAMIA MILES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SAMIA MILES
CHAIRPERSON
1217 N HARDNG AVE
CHICAGO IL 60651

Officer/Director/Trustee Two

RONALD JONES II
BOARD MEMBER
1863 S LAWNDALE AVE APT 3N
CHICAGO IL 60623

Officer/Director/Trustee Three

SHANEKA SMITH
BOARD MEMBER
2214 S 58TH COURT
CICERO IL 60804

Officer/Director/Trustee Four

FELICIA TATE
BOARD MEMBER
1217 N HARDING
CHICAGO IL 60651

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/18/2016
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P50 - Personal Social Services
Organization’s purpose Charitable: No
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
Signature Title
Signature Date

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