FORM 1023-EZ for SURGE RECOVERY INC

Field Data
EIN 81-2387073
Case Number EO-2016155-000182
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SURGE RECOVERY INC
Organization’s Mailing Address 1912 PENFIELD ST
City PHILADELPHIA
State PA
ZIP 19138-2715
Accounting period End 6
Primary contact name MICHAEL WILLIAMS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MARTIN BOYD
DIRECTOR AND PRESIDENT/CEO
1912 PENFIELD ST
PHILADELPHIA PA 19138-2715

Officer/Director/Trustee Two

MICHAEL WILLIAMS
DIRECTOR AND TREASURER/CFO
7985 OAK HILL DR
CHELTENHAM PA 19012-1707

Officer/Director/Trustee Three

EDWARD DOLISON
DIRECTOR AND SECRETARY
1119 ARROTT ST
PHILADELPHIA PA 19124-3153

Organization’s website
Organization’s email INFORMATION@SURGERECOVERY.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/21/2016
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code L25 - Housing Rehabilitation
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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 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
Signature Title
Signature Date

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