FORM 1023-EZ for SURVIVORS LEAD

Field Data
EIN 82-4683767
Case Number EO-2018068-000307
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SURVIVORS LEAD
Organization’s Mailing Address 4004 20TH AVENUE SOUTH
City MINNEAPOLIS
State MN
ZIP 55407
Accounting period End 1
Primary contact name RACHAEL JOSEPH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RACHAEL JOSEPH
DIRECTOR
4004 20TH AVENUE S
MINNEAPOLIS MN 55407

Officer/Director/Trustee Two

ALYSE MAYE QUADE
DIRECTOR
881 ORIOLE DRIVE
APPLE VALLEY MN 55124

Officer/Director/Trustee Three

NIKKI MCCOMB
OFFICER
3758 UPTON AVENUE N
MINNEAPOLIS MN 55412

Officer/Director/Trustee Four

KIMBERLY BRUSK
TRUSTEE
4168 REGENCY PARK COURT
ATLANTA GA 30341

Officer/Director/Trustee Five

KATE RANTA
TRUSTEE
4506 TANEY AVE APT 403
ALEXANDRIA MN 22304

Organization’s website WWW.SURVIVORSLEAD.COM
Organization’s email INFO@SURVIVORSLEAD.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/7/18
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B01 - Alliance/Advocacy Organizations
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 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 RACHAEL JOSEPH
Signature Title DIRECTOR
Signature Date 3/7/18

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