FORM 1023-EZ for SURVIVE AND THRIVE EDUCATION

Field Data
EIN 85-2000457
Case Number EO-2020203-000293
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SURVIVE AND THRIVE EDUCATION
Organization’s Mailing Address 1317 PRELUDE DR
City FORT WORTH
State TX
ZIP 76134
Accounting period End 12
Primary contact name EMERY SUMBERLIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

EMERY SUMBERLIN
DIRECTOR OF OPERATIONS
706 FITZWILLIAM LN
MANSFIELD TX 76063

Officer/Director/Trustee Two

BRODERICK WILLIAMS
DEAN OF STUDENTS
8220 BOULDER CANYON TRAIL
FORT WORTH TX 76123

Officer/Director/Trustee Three

DONAL SACKEN
BOARD PRESIDENT
468 WESTVIEW TERRACE
ARLINGTON TX 76013

Officer/Director/Trustee Four

MARCUS JOHNSON
TRUSTEE
601 UNIVERSITY DR
SAN MARCOS TX 78666-4684

Officer/Director/Trustee Five

DARRYL CAVITT
TRUSTEE
14733 CEDAR FLAT WAY
ROANOKE TX 76262

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/8/2020
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
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 Yes
Donation of funds Yes
Conducting Activities Outside of United States Yes
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 EMERY SUMBERLIN
Signature Title DIRECTOR OF OPERATIONS
Signature Date 7/16/2020

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