FORM 1023-EZ for THE PKS TALK BACK INC

Field Data
EIN 83-4542996
Case Number EO-2020072-000169
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE PKS TALK BACK INC
Organization’s Mailing Address 1844 NORTH 32ND STREET
City PHILADELPHIA
State PA
ZIP 19121
Accounting period End 12
Primary contact name SHAVONNE SHIPMAN-COOK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHAVONNE SHIPMAN-COOK
FOUNDER BOARD PRESIDENT
7934 LOWBER AVENUE
PHILADELPHIA PA 19150

Officer/Director/Trustee Two

PAULETTE SOLOMON
BOARD OF DIRECTOR
5331 N SYNDENHAM STREET
PHILADELPHIA PA 19141

Officer/Director/Trustee Three

TIFFANY CROFT
BOARD OF DIRECTOR
3117 LEVICK STREET
PHILADELPHIA PA 19149

Officer/Director/Trustee Four

ANDREW GRANNUM
BOARD OF DIRECTOR
230 W EARLHAM TERRACE
PHILADELPHIA PA 19144

Officer/Director/Trustee Five

PAMELA SHIPMAN
BOARD OF DIRECTOR
195 VISTA DRIVE
MARLTON NJ 08053

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/21/2019
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Z99 - Unclassified
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
Scientific: No
Literary: Yes
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 SHAVONNE SHIPMAN-COOK
Signature Title FOUNDER BOARD PRESIDENT
Signature Date 3/10/2020

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