FORM 1023-EZ for A SURVIVORS STORY INC
| Field | Data |
|---|---|
| EIN | 85-3003623 |
| Case Number | EO-2021085-000924 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | A SURVIVORS STORY INC |
| Organization’s Mailing Address | 36700 PARKCREST CIRCLE APT 202 |
| City | WESTLAND |
| State | MI |
| ZIP | 48185 |
| Accounting period End | 12 |
| Primary contact name | KELLY A MAYS |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
KELLY MAYS
DIRECTOR
36700 PARKCREST CIRCLE APT 202
WESTLAND MI 48185
| Organization’s website | HTTPS://ASURVIVORSSTORY.ORG/ABOUT-US |
|---|---|
| Organization’s email | ASURVIVORSSTORY@ASURVIVORSSTORY.ORG |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 9/15/2020 |
| Organization Incorporation State | MI |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | A20 - Arts, Cultural 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 | Yes |
| Donation of funds | Yes |
| Conducting Activities Outside of United States | Yes |
| Financial transactions with officers | No |
| Unrelated Gross Income $1,000 or More | Yes |
| Gaming Activity | No |
| Disaster relief assistance | No |
| One Third Support Public | No |
| One Third Support Gifts | Yes |
| Benefit of College | No |
| Private Foundation 508(e) | No |
| Seeking Retroactive Reinstatement | No |
| Seeking Section 7 Reinstatement | No |
| Correctness Declaration | Yes |
| Signature Name | KELLY MAYS |
| Signature Title | DIRECTOR |
| Signature Date | 2/4/2021 |
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