FORM 1023-EZ for SURVEILLANCE AND HARASSMENT SURVIVORS ALLIANCE

Field Data
EIN 83-3432868
Case Number EO-2019053-000225
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SURVEILLANCE AND HARASSMENT SURVIVORS ALLIANCE
Organization’s Mailing Address 17905 BRISTOL WAY
City INDEPENDENCE
State MO
ZIP 64057
Accounting period End 1
Primary contact name SHAYLA AVANTS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHAYLA AVANTS
PRESIDENT
17905 BRISTOL WAY
INDEPENDENCE MO 64057

Officer/Director/Trustee Two

CHUCK NAPPI
VICE PRESIDENT
125 E 39TH ST APT 4
NORFOLK VA 23504

Officer/Director/Trustee Three

DANIEL ALFORD
PUBLIC RELATIONS DIRECTOR
514 CAMWAY DRIVE
WILMINGTON NC 28403

Officer/Director/Trustee Four

AMY HOLEM
SECRETARY
4444 RIO GRANDE AVE APT 528A
ORLANDO FL 32839

Organization’s website
Organization’s email SHAYLAAVANTS.SHSA@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/1/19
Organization Incorporation State MO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P60 - Emergency Assistance (Food, Clothing, Cash)
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 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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name SHAYLA AVANTS
Signature Title PRESIDENT
Signature Date 2/20/19

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