FORM 1023-EZ for SURVIVORWEAR

Field Data
EIN 81-5139921
Case Number EO-2017040-000357
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SURVIVORWEAR
Organization’s Mailing Address 444 S 8TH STREET SUITE 3 B3
City EL CENTRO
State CA
ZIP 92243
Accounting period End 12
Primary contact name ANASTASIA BUTLER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RICHARD FRAGALE
BOARD CHAIR
1245 AURORA DR
EL CENTRO CA 92243

Officer/Director/Trustee Two

CLIFFORD CALDWELL
VICE CHAIR
765 DESERT GARDENS DR
EL CENTRO CA 92243

Officer/Director/Trustee Three

JOSE CUELLAR
SECRETARY
998 ALAMEDA AVE
CALEXICO CA 92231

Officer/Director/Trustee Four

MICHAEL HAMILTON
TREASURER
26 OAKBROOK
COTO DE CAZA CA 92679

Officer/Director/Trustee Five

MICHAEL KELLEY
DEPUTY VICE CHAIR
940 W MAIN STREET SUITE 209
EL CENTRO CA 92243

Organization’s website WWW.VIVORWEAR.ORG
Organization’s email INFO@VIVORWEAR.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/26/2015
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E86 - Patient Services - Entertainment, Recreation
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 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
Signature Title
Signature Date

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