FORM 1023-EZ for SISTER SURVIVORS

Field Data
EIN 47-4556120
Case Number EO-2016193-000583
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SISTER SURVIVORS
Organization’s Mailing Address 1170 WEST RIVER PARK DRIVE
City INKSTER
State MI
ZIP 48141
Accounting period End 9
Primary contact name ALICE JOHNSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ALICE JOHNSON
PRESIDENT
1170 WEST RIVER PARK DRIVE
INKSTER MI 48141

Officer/Director/Trustee Two

IRENE GARZA
VICE PRESIDENT
6895 HAYDEN
DEARBORN HEIGHTS MI 48127

Officer/Director/Trustee Three

PAM CZUJ
SECRETARY / TREASURER
18240 PARKSHORE DRIVE
NORTHVILLE MI 48168

Organization’s website WWW.SISTERSURVIVORS.ORG
Organization’s email SISTERSURVIVORS95@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/5/2015
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code V01 - Alliance/Advocacy Organizations
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 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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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