FORM 1023-EZ for SURVIVOR SERVICES INC

Field Data
EIN 85-0644754
Case Number EO-2020147-000608
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SURVIVOR SERVICES INC
Organization’s Mailing Address 6039 WEST POINT LOMA BLVD
City SAN DIEGO
State CA
ZIP 92110
Accounting period End 12
Primary contact name LESLIE HENDERSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KATHRYN SILVERMAN
TREASURER
10800 WOODSIDE AVENUE SPC 161
SANTEE CA 92107

Officer/Director/Trustee Two

LESLIE HENDERSON
PRESIDENT
10800 WOODSIDE AVENUE SPC 161
SANTEE CA 92107

Officer/Director/Trustee Three

TIFFANY GRAVELLE
SECRETARY
90161 LAKEVIEW DRIVE
EUGENE OR 97402

Organization’s website HTTPS://WWW.SURVIVORSERVICESINC.COM/
Organization’s email SURVIVORSERVICESINC@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/2/2019
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P62 - Victims' 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 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 LESLIE HENDERSON
Signature Title PRESIDENT
Signature Date 5/23/2020

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