FORM 1023-EZ for SURVIVORS AWARENESS INC

Field Data
EIN 87-2749876
Case Number EO-2021270-000179
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SURVIVORS AWARENESS INC
Organization’s Mailing Address 4584 WASHINGTON STREET
City ROSLINDALE
State MA
ZIP 02131
Accounting period End 8
Primary contact name TASIA CALLISTE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TASIA CALLISTE
PRESIDENT
4584 WASHINGTON STREET
ROSLINDALE MA 02131

Officer/Director/Trustee Two

NIKITA SAMANT
TREASURER
50 W 34TH STREET
NEW YORK NY 10001

Officer/Director/Trustee Three

JACQUAY SPRADLEY
CLERK
60 FAIRVIEW AVENUE
MALDEN MA 02148

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/22/2021
Organization Incorporation State MA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W01 - Alliance/Advocacy Organizations
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 Yes
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 TASIA CALLISTE
Signature Title PRESIDENT
Signature Date 9/23/2021

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