FORM 1023-EZ for SURVIVEDIT

Field Data
EIN 46-3756543
Case Number EO-2015147-000084
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SURVIVEDIT
Organization’s Mailing Address 1612 LUCAS AVENUE UNIT 211
City ST. LOUIS
State MO
ZIP 63103
Accounting period End 12
Primary contact name STEVE ESTOPARE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JAMES HOUSE II
PRESIDENT
7736 LOCUST DRIVE
BARNHART MO 63012

Officer/Director/Trustee Two

KATHERINE DEFOREST
VICE PRESIDENT
2606 CARRERA DRIVE
COLUMBIA MO 65203

Officer/Director/Trustee Three

ALVIN RINEY
TREASURER
3532 PEARSON POINTE
ST LOUIS MO 63129

Officer/Director/Trustee Four

CATHY COLE
SECRETARY
5439 ALNWICK
ST LOUIS MO 63129

Officer/Director/Trustee Five

STEVE ESTOPARE
BOARD MEMBER
1612 LUCAS AVENUE UNIT 211
ST LOUIS MO 63103

Organization’s website SURVIVEDIT.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/30/2013
Organization Incorporation State MO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G96 - Neurology, Neuroscience
Organization’s purpose Charitable: Yes
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
Signature Title
Signature Date

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