FORM 1023-EZ for STREET LIFE FAMILY ASSISTANCE ALLIANCE INC

Field Data
EIN 47-5064570
Case Number EO-2017003-000405
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name STREET LIFE FAMILY ASSISTANCE ALLIANCE INC
Organization’s Mailing Address 42 S LUCILLE ST
City BEVERLY HILLS
State FL
ZIP 34465
Accounting period End 12
Primary contact name NICOLE RUSSANO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NICOLE RUSSANO
PRESIDENT
42 S LUCILLE ST
BEVERLY HILLS FL 34465

Officer/Director/Trustee Two

LIVING WATER MINISTRIES LIVING WATER MINISTRIES
TREASURER
4049 N LECANTO HWY
BEVERLY HILLS FL 34465

Officer/Director/Trustee Three

JOAN SAIA
DIRECTOR
1050 E BLUEBIRD CT
HERNANDO FL 34442

Officer/Director/Trustee Four

RAYMOND DUCHESNE
VICE PRESIDENT
3277 S SUNCOAST BLVD
HOMOSASSA FL 34446

Officer/Director/Trustee Five

WAYNE WILKINSON
PASTOR
2821 W BLACKWOOD DR
BEVERLY HILLS FL 34465

Organization’s website WWW.STREETLIFEFAMILY.COM
Organization’s email STREETLIFEFAMILY@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/28/2015
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S20 - Community, Neighborhood Development, Improvement (General)
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 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
Signature Title
Signature Date

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