FORM 1023-EZ for SRVIVRS
| Field | Data |
|---|---|
| EIN | 86-1765403 |
| Case Number | EO-2021088-000607 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | SRVIVRS |
| Organization’s Mailing Address | 4337 MIRACLE PLACE |
| City | RAPID CITY |
| State | SD |
| ZIP | 57702 |
| Accounting period End | 12 |
| Primary contact name | MIKAIL ROBERTS |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
JOSHUA NEHRING
PRESIDENT
4337 MIRACLE PLACE
RAPID CITY SD 57702
Officer/Director/Trustee Two
SHANNAN NIELSON
VICE PRESIDENT
7349 DOGWOOD CRESCENT
SPRING HILL FL 34607
Officer/Director/Trustee Three
STACY NEHRING
SECRETARY
4337 MIRACLE PLACE
RAPID CITY SD 57702
Officer/Director/Trustee Four
MIKAIL ROBERTS
HEAD LEGAL COUNSEL
8370 N PONDERSODA PINE PL
TUCSON AZ 85743
Officer/Director/Trustee Five
ELIZABETH CRAPO
TREASURER
8932 N CR 650 E
BROWNSBURG IN 46112
| Organization’s website | SRVIVRS.COM |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 2/5/2021 |
| Organization Incorporation State | SD |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | P20 - Human Service Organizations - Multipurpose |
| 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 | MIKAIL ROBERTS |
| Signature Title | HEAD LEGAL COUNSEL |
| Signature Date | 2/12/2021 |
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