FORM 1023-EZ for THE SURVIVORS NEST INC

Field Data
EIN 83-1909698
Case Number EO-2019036-001070
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE SURVIVORS NEST INC
Organization’s Mailing Address 2101 BURNS VIEW LANE
City LAWRENCEVILLE
State GA
ZIP 30044
Accounting period End 4
Primary contact name APRIL SMITH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

APRIL SMITH
EXECUTIVE DIRECTOR
2101 BURNS VIEW LANE
LAWRENCEVILLE GA 30044

Officer/Director/Trustee Two

SONYA SIMPSON
OFFICER
3661 CASCADE PALMETTO HWY
ATLANTA GA 30331

Officer/Director/Trustee Three

TAMOLEKA WOOLEN
OFFICER
1525 STATION CENTER BLVD
SUWANEE GA 30024

Officer/Director/Trustee Four

DENISE RHODES
OFFICER
951 LUKE STREET
SNELLVILLE GA 30039

Officer/Director/Trustee Five

CATRINA TRICE
OFFICER
1255 BRITAIN DR
LAWRENCEVILLE GA 30044

Organization’s website WWW.THESURVIVORSNEST.COM
Organization’s email SURVIVORSNEST@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/14/18
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E70 - Public Health Program (Includes General Health and Wellness Promotion Services)
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name APRIL SMITH
Signature Title EXECUTIVE DIRECTOR
Signature Date 1/22/19

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