FORM 1023-EZ for SISTERS OF SURVIVAL TRANSITIONAL HOUSING CENTER INCORPORATED

Field Data
EIN 46-4383843
Case Number EO-2015075-000501
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SISTERS OF SURVIVAL TRANSITIONAL HOUSING CENTER INCORPORATED
Organization’s Mailing Address 3410 LAUREL LANE
City HAZEL CREST
State IL
ZIP 60429
Accounting period End 12
Primary contact name KATRINA COOK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

KATRINA COOK
EXECUTIVE DIRECTOR
3410 LAUREL LANE
HAZEL CREST IL 60429

Officer/Director/Trustee Two

CASSANDRA COOK
DIRECTOR/SECRETARY
14225 SOUTH MICHIGAN AVENUE
RIVERDALE IL 60827

Officer/Director/Trustee Three

ROSE EVANS
DIRECTOR/TRUSTEE
833 SOUTH COLEMAN DRIVE
LOUISVILLE KY 40211

Officer/Director/Trustee Four

MICHAEL COOK
DIRECTOR/TRUSTEE
11032 MCCORMICK SAINT TICINO
NORTH HOLLYWOOD CA 91606

Organization’s website
Organization’s email SISTERSURVIVAL42@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/30/2015
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code L41 - Homeless, Temporary Shelter For
Organization’s purpose Charitable: Yes
Religious: Yes
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 No
One Third Support Gifts Yes
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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