FORM 1023-EZ for SOUL SURVIVOR HOUSE

Field Data
EIN 86-1812749
Case Number EO-2021093-000785
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SOUL SURVIVOR HOUSE
Organization’s Mailing Address 11821 AMBERLY LN
City BALCH SPRINGS
State TX
ZIP 75180-1363
Accounting period End 12
Primary contact name MARILYN THOMAS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARILYN THOMAS
DIRECTOR/PRESIDENT
11821 AMBERLY LN
BALCH SPRINGS TX 75180-1363

Officer/Director/Trustee Two

JANAE RICHARDS
DIRECTOR/VICE PRESIDENT
9621 RONNIE ST
JACKSONVILLE FL 32208-1221

Officer/Director/Trustee Three

NATASHA CLEVELAND
DIRECTOR/TREASURER
911 BLANTON STREET
SHERMAN TX 75092-5203

Officer/Director/Trustee Four

SABRINA KINNEY
DIRECTOR/SECRETARY
3969 BUCKINGHAM AVE
DETROIT MI 48224-3536

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/26/2021
Organization Incorporation State TX
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: Yes
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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 MARILYN THOMAS
Signature Title DIRECTOR/PRESIDENT
Signature Date 3/2/2021

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