FORM 1023-EZ for SURVIVOR SHERPA

Field Data
EIN 84-4580948
Case Number EO-2020174-000255
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SURVIVOR SHERPA
Organization’s Mailing Address 14322 MAYWOOD COURT
City PRAIRIEVILLE
State LA
ZIP 70769-4495
Accounting period End 12
Primary contact name PAMELA HALPIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PAMELA HALPIN
DIRECTOR
14322 MAYWOOD COURT
PRAIRIEVILLE LA 70769-4495

Officer/Director/Trustee Two

MONIQUE RAVEY
DIRECTOR
2956 WOODLAND RIDGE BLVD
BATON ROUGE LA 70816-2585

Officer/Director/Trustee Three

CHERYL HUNN
DIRECTOR
7357 COMMONWEALTH
CINCINNATI OH 45224-1413

Organization’s website SURVIVOR-SHERPA.COM
Organization’s email SURVIVORSHERPA@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/4/2020
Organization Incorporation State LA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P99 - Human Services - Multipurpose and Other N.E.C.
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name PAMELA HALPIN
Signature Title DIRECTOR
Signature Date 6/19/2020

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