FORM 1023-EZ for BURNSURVIVOR ORG
| Field | Data |
|---|---|
| EIN | 83-1391559 |
| Case Number | EO-2018229-000416 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | BURNSURVIVOR ORG |
| Organization’s Mailing Address | 60 LYSTRA ESTATES DRIVE |
| City | CHAPEL HILL |
| State | NC |
| ZIP | 27517-6444 |
| Accounting period End | 12 |
| Primary contact name | JAMES JANUARY |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
JAMES JANUARY
PRESIDENT
60 LYSTRA ESTATES DRIVE
CHAPEL HILL NC 27517
Officer/Director/Trustee Two
ROBERT MAITLAND
DIRECTOR
2 COUCH ROAD
CHAPEL HILL NC 27514
Officer/Director/Trustee Three
SCOTT MAITLAND
DIRECTOR
2 COUCH ROAD
CHAPEL HILL NC 27514
Officer/Director/Trustee Four
PETER DESTAEBLER
DIRECTOR
11035 DAVID STONE DRIVE
CHAPEL HILL NC 27517
Officer/Director/Trustee Five
EVERETT JANUARY
DIRECTOR
144 LANDS DRIVE
MILLEDGEVILLE GA 31061
| Organization’s website | BURNSURVIVOR.ORG |
|---|---|
| Organization’s email | JANUARY@BURNSURVIVOR.ORG |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 7/28/18 |
| Organization Incorporation State | NC |
| 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 | 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 | Yes |
| One Third Support Gifts | No |
| Benefit of College | No |
| Private Foundation 508(e) | No |
| Seeking Retroactive Reinstatement | No |
| Seeking Section 7 Reinstatement | No |
| Correctness Declaration | Yes |
| Signature Name | JAMES JANUARY |
| Signature Title | PRESIDENT |
| Signature Date | 8/15/18 |
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