FORM 1023-EZ for SQUARE CIRCLES & SURVIVOR NATION INC

Field Data
EIN 82-2168819
Case Number EO-2019071-000745
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SQUARE CIRCLES & SURVIVOR NATION INC
Organization’s Mailing Address 1399 FULTON STREET APT 3L
City BROOKLYN
State NY
ZIP 11216-2628
Accounting period End 12
Primary contact name NOSAYABA ODESANYA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NOSAYABA ODESANYA
PRESIDENT
1399 FULTON STREET APT 3L
BROOKLYN NY 11216-2628

Officer/Director/Trustee Two

CASILDA SIMPSON
SECRETARY
26 COURT STREET SUITE 701
BROOKLYN NY 11242-1107

Officer/Director/Trustee Three

MARQUEZ CLAXTON
TREASURER
22307 135TH AVENUE
LAURELTON NY 11413-2011

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/17/17
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P99 - Human Services - Multipurpose and Other N.E.C.
Organization’s purpose Charitable: No
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 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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name NOSAYABA ODESANYA
Signature Title PRESIDENT
Signature Date 3/7/19

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