FORM 1023-EZ for SURGE US

Field Data
EIN 84-2376619
Case Number EO-2019242-000192
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SURGE US
Organization’s Mailing Address 514 TABLEROCK DR
City MURPHY
State TX
ZIP 75094-4309
Accounting period End 12
Primary contact name PAUL BERRY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

EDWARD GAUNT
DIRECTOR-PRESIDENT
514 TABLEROCK DR
MURPHY TX 75094-4309

Officer/Director/Trustee Two

TIMOTHY DALY
DIRECTOR-VP
514 TABLEROCK DR
MURPHY TX 75094-4309

Officer/Director/Trustee Three

PAUL BERRY
DIRECTOR
3 RATHFARNHAM RD
ASHEVILLE NC 28803-2142

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/16/19
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D99 - Animal-Related N.E.C.
Organization’s purpose Charitable: No
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name PAUL BERRY
Signature Title DIRECTOR
Signature Date 8/28/19

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