FORM 1023-EZ for GUN VIOLENCE SURVIVOR NETWORK
| Field | Data |
|---|---|
| EIN | 83-4465854 |
| Case Number | EO-2019112-000583 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | GUN VIOLENCE SURVIVOR NETWORK |
| Organization’s Mailing Address | 935 HIGBEE DRIVE SOUTH |
| City | COLUMBUS |
| State | OH |
| ZIP | 43207-4287 |
| Accounting period End | 12 |
| Primary contact name | ERICK BELLOMY |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
ERICK BELLOMY
PRESIDENT
935 HIGBEE DRIVE SOUTH
COLUMBUS OH 43207-4287
Officer/Director/Trustee Two
MARY JO KILROY
BOARD MEMBER
3100 MIDGARD ROAD
COLUMBUS OH 43202-1414
Officer/Director/Trustee Three
ANDREA MATOS
BOARD MEMBER
935 HIGBEE DRIVE SOUTH
COLUMBUS OH 43207-1414
| Organization’s website | |
|---|---|
| Organization’s email | GUNVIOLENCESURVIVORNETWORK@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 3/18/19 |
| Organization Incorporation State | OH |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | P62 - Victims' Services |
| Organization’s purpose | Charitable: No 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 | 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 | MARY JO KILROY |
| Signature Title | BOARD MEMBER |
| Signature Date | 4/18/19 |
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