FORM 1023-EZ for IM A SURVIVOR MISSION
| Field | Data |
|---|---|
| EIN | 82-4769235 |
| Case Number | EO-2018080-000094 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | IM A SURVIVOR MISSION |
| Organization’s Mailing Address | 22 FRANKLIN AVE |
| City | BEDFORD |
| State | OH |
| ZIP | 44146 |
| Accounting period End | 5 |
| Primary contact name | ANGELA GREEN |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
ANGELA GREEN
PRESIDENT, TREASURER, DIRECTOR
22 FRANKLIN AVE
BEDFORD OH 44146
Officer/Director/Trustee Two
ANDREW LLYOD
VICE PRESIDENT, DIRECTOR
24900 ROCKSIDE RD
BEDFORD HEIGHTS OH 44146
Officer/Director/Trustee Three
BREYONNA HOOKFIN
SECRETARY, DIRECTOR
8780 RAYCOURT STE 1
TWINSBURG OH 44087
| Organization’s website | N/A |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 3/9/18 |
| Organization Incorporation State | OH |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | P20 - Human Service 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 | 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 | ANGELA GREEN |
| Signature Title | PRESIDENT, TREASURER, DIRECTOR |
| Signature Date | 3/19/18 |
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