FORM 1023-EZ for SURVIVE AND TELL LNC

Field Data
EIN 84-2025487
Case Number EO-2020281-000304
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SURVIVE AND TELL LNC
Organization’s Mailing Address 1541 RIDGEVIEW LANE
City HARRISBURG
State PA
ZIP 17110
Accounting period End 12
Primary contact name KEAIRRA DAWOOD- PRESIDENT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KEAIRRA DAWOOD
DIRECTOR-PRESIDENT
1541 RIDGEVIEW LANE
HARRISBURG PA 17110

Officer/Director/Trustee Two

TAHIR DAWOOD
DIRECTOR
1541 RIDGEVIEW LANE
HARRISBURG PA 17110

Officer/Director/Trustee Three

ALISA CARTER
DIRECTOR
521 SAINT PAUL STREET APT G7
BALTIMORE MD 21202

Officer/Director/Trustee Four

CHERIE WILEY
DIRECTOR
6411 BLUEGILL RD
CHARLOTTE NC 28216

Officer/Director/Trustee Five

CATHERINE COLEMAN
DIRECTOR
1541 RIDGEVIEW LANE
HARRISBURG PA 17110

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/1/2019
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F60 - Counseling, Support Groups
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name KEAIRRA DAWOOD
Signature Title DIRECTOR-PRESIDENT
Signature Date 10/5/2020

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