FORM 1023-EZ for NATIONAL HUMAN TRAFFICKING SURVIVORCOALITION

Field Data
EIN 82-3127377
Case Number EO-2018068-000189
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NATIONAL HUMAN TRAFFICKING SURVIVORCOALITION
Organization’s Mailing Address PO BOX 4642
City PARKER
State CO
ZIP 80138
Accounting period End 12
Primary contact name KELLY DORE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KELLY DORE
EXECUTIVE DIRECTOR
22125 LAUREL OAK DRIVE
PARKER CO 80138-8451

Organization’s website WWW.NHTSC.ORG
Organization’s email INFO@NHTSC.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/18/17
Organization Incorporation State CO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code R99 - Civil Rights, Social Action, Advocacy N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 Yes
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name KELLY DORE
Signature Title EXECUTIVE DIRECTOR
Signature Date 3/7/18

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