FORM 1023-EZ for SURVIVOR SPEAK
| Field | Data |
|---|---|
| EIN | 47-4801493 |
| Case Number | EO-2015252-000152 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | SURVIVOR SPEAK |
| Organization’s Mailing Address | 91 J AUBURN STREET |
| City | PORTLAND |
| State | ME |
| ZIP | 04103 |
| Accounting period End | 12 |
| Primary contact name | CHRISTINE DILACQUA |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $400.00 |
Officer/Director/Trustee One
DEE CLARKE
PRESIDENT
1 WALKER STREET APT 48
PORTLAND ME 04102
Officer/Director/Trustee Two
ELAINE SHAMOS
SECRETARY
234 EASTERN PROMENADE A2
PORTLAND ME 04101
Officer/Director/Trustee Three
LEAH TWITCHELL
DIRECTOR
135 MURRAY STREET
PORTLAND ME 04103
Officer/Director/Trustee Four
CHRISTINE DILACQUA
CHIEF FINANCIAL OFFICER
57 COPLEY WOODS CIRCLE
PORTLAND ME 04103
| Organization’s website | WWW.SURVIVORSPEAK.ORG |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 8/7/2015 |
| Organization Incorporation State | ME |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | P50 - Personal Social Services |
| 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 | Yes |
| 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 | 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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