FORM 1023-EZ for SURLES DOMESTIC VIOLENCE FOUNDATION

Field Data
EIN 85-0882132
Case Number EO-2020219-000336
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SURLES DOMESTIC VIOLENCE FOUNDATION
Organization’s Mailing Address 1578 MCKEE ROAD
City TONEY
State AL
ZIP 35773
Accounting period End 12
Primary contact name MONACA ROBINSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MONACA ROBINSON
EXECUTIVE DIRECTOR
1578 MCKEE ROAD
TONEY AL 35773

Officer/Director/Trustee Two

CAMERON SURLES
BOARD DIRECTOR
378 TONEY SCHOOL ROAD
TONEY AL 35773

Officer/Director/Trustee Three

REGINAL SURLES
BOARD DIRECTOR
172 HAROLD MURPHY
MADISON AL 35756

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/4/2020
Organization Incorporation State AL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P50 - Personal Social Services
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 MONACA ROBINSON
Signature Title EXECUTIVE DIRECTOR
Signature Date 8/4/2020

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