FORM 1023-EZ for VITAL SURVIVAL FOUNDATION INC

Field Data
EIN 85-4102413
Case Number EO-2021063-000214
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name VITAL SURVIVAL FOUNDATION INC
Organization’s Mailing Address 15 CEDAR
City BLOOMFIELD
State NJ
ZIP 07003
Accounting period End 6
Primary contact name INSHIRAH OVERTON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

INSHIRAH OVERTON
DIRECTOR/CEO/PRESIDENT
15 CEDAR
BLOOMFIELD NJ 07003

Officer/Director/Trustee Two

JAMILLAH LAMB
TREASURER/DIRECTOR
61 ALEXANDER AVE
MONTCLAIR NJ 07043

Officer/Director/Trustee Three

ANISAH MUHAMMAD
SECRETARY/DIRECTOR
415 VALLEY ROAD
MONTCLAIR NJ 07042

Organization’s website HTTP://WWW.VITALSURVIVALCONSULTING.COM
Organization’s email INSHIRAHOVERTON@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/18/2020
Organization Incorporation State NJ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code L20 - Housing Development, Construction, Management
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 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 INSHIRAH OVERTON
Signature Title DIRECTOR/CEO/PRESIDENT
Signature Date 12/31/2020

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