FORM 1023-EZ for SISTER SURVIVOR NETWORK

Field Data
EIN 84-1829978
Case Number EO-2019184-000047
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SISTER SURVIVOR NETWORK
Organization’s Mailing Address 4954 WEST KAMERLING
City CHICAGO
State IL
ZIP 60651-1533
Accounting period End 6
Primary contact name AMBRELL GAMBRELL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

AMBRELL GAMBRELL
PRESIDENT
4954 W KAMERLING
CHICAGO IL 60651-1533

Officer/Director/Trustee Two

MONTOYA LASHLEY
TREASURER
2818 S TRUMBULL
CHICAGO IL 60623-4652

Officer/Director/Trustee Three

LASHEDA BROOKS
SECRETARY
3933 HEATHERBROOK PL
MIDDLEBURG FL 32068

Officer/Director/Trustee Four

AHRIEL FULLER
DIRECTOR
9549 S BISHOP
CHICAGO IL 60643-1309

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/31/19
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A23 - Cultural, Ethnic Awareness
Organization’s purpose Charitable: Yes
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 Yes
Donation of funds Yes
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 AMBRELL GAMBRELL
Signature Title PRESIDENT
Signature Date 7/1/19

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