FORM 1023-EZ for SURVIVOR I AM INC

Field Data
EIN 82-4471197
Case Number EO-2018095-000520
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SURVIVOR I AM INC
Organization’s Mailing Address 1310 EDWARDS AVE
City BRONX
State NY
ZIP 10461
Accounting period End 1
Primary contact name SONIA COLON-GUILFUCHI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SONIA COLON-GUILFUCHI
PRES
1310 EDWARDS AVE
BRONX NY 10461

Officer/Director/Trustee Two

SANDRA MCCARTHY
SECRETARY
29 EAST LIBERTY STREET
WATERBURY CT 6706

Officer/Director/Trustee Three

ANTHONY ROSARIO
TREASURER
4624 PROSPECT AVE
DOWNERS GROVE IL 60515

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/12/18
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P01 - Alliance/Advocacy Organizations
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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 SONIA COLON-GUILFUCHI
Signature Title PRES
Signature Date 3/21/18

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