FORM 1023-EZ for THIS IS US - UNDEFEATED SURVIVORS

Field Data
EIN 84-4734373
Case Number EO-2020051-000244
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THIS IS US - UNDEFEATED SURVIVORS
Organization’s Mailing Address 6317 BELLAIRE DRIVE
City NEW ORLEANS
State LA
ZIP 70124
Accounting period End 12
Primary contact name COURTNEY ELZEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DANIELLE OVERTON
PRESIDENT/DIRECTOR
6317 BELLAIRE DRIVE
NEW ORLEANS LA 70124

Officer/Director/Trustee Two

SHATEEK NOBLES
VICE PRESIDENT
2829 WASHINGTON AVE
NEW ORLEANS LA 70113

Organization’s website
Organization’s email THISISUSORGANIZATION20@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/18/2020
Organization Incorporation State LA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F42 - Rape Victim Services
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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 DANIELLE OVERTON
Signature Title PRESIDENT/DIRECTOR
Signature Date 2/18/2020

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