FORM 1023-EZ for NARCISSISTIC ABUSE SURVIVORS INC

Field Data
EIN 82-4843416
Case Number EO-2018080-000253
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NARCISSISTIC ABUSE SURVIVORS INC
Organization’s Mailing Address 6996 TIAZZA GRANDE AVENUE SUITE 102
City ORLANDO
State FL
ZIP 32835
Accounting period End 12
Primary contact name SHANDRA STRINGER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KENDALL JOHNSON
PRESIDENT AND CEO
6996 TIAZZA GRANDE AVE STE 102
ORLANDO FL 32835

Officer/Director/Trustee Two

LISA FELLOWS
VICE PRESIDENT
104 RUSHING WATER COURT
HERNDERSONVILLE TN 37075

Officer/Director/Trustee Three

NICOLE MICKLE
DIRECTOR
P O BOX 770849
WINTER GARDEN FL 34777

Officer/Director/Trustee Four

BULANDRIA DINKINS
SECRETARY
4548 CASSIUS STREET
ORLANDO FL 32811

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/23/18
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P43 - Family Violence Shelters, Services
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
Scientific: Yes
Literary: Yes
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 KENDALL JOHNSON
Signature Title PRESIDENT AND CEO
Signature Date 3/19/18

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