FORM 1023-EZ for SURVIVORS IN SYNC

Field Data
EIN 37-1781181
Case Number EO-2015106-000209
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SURVIVORS IN SYNC
Organization’s Mailing Address 4862 SWEETMEADOW CIR
City SARASOTA
State FL
ZIP 34238-3319
Accounting period End 12
Primary contact name AUDREY BEAR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ANGELA LONG
PRESIDENT
4862 SWEETMEADOW CIR
SARASOTA FL 34238-3319

Officer/Director/Trustee Two

PAT VAN STEDUM
VICE-PRESIDENT
553 FORE DR
BRADENTON FL 34208-8447

Officer/Director/Trustee Three

LINDA DALLMAN REPP
SECRETARY
6181 ABACO DR
SARASOTA FL 34238-2986

Officer/Director/Trustee Four

DANA BAUER
TREASURER
7026 VILAMOURA PLACE
LAKEWOOD RANCH FL 34202-2419

Organization’s website WWW.SURVIVORSINSYNC.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/6/2015
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G30 - Cancer
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
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
Signature Title
Signature Date

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