FORM 1023-EZ for SUICIDE SURVIVAL STORIES

Field Data
EIN 86-1268682
Case Number EO-2021096-001372
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SUICIDE SURVIVAL STORIES
Organization’s Mailing Address 1084 HOWELL MILL ROAD NW NO 1316
City ATLANTA
State GA
ZIP 30318
Accounting period End 12
Primary contact name POL MINGUET ATTORNEY IN FACT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

STEVEN J ROMIG
INCORPORATOR
1084 HOWELL MILL ROAD NW NO 725
ATLANTA GA 30318

Officer/Director/Trustee Two

POL MINGUET
ATTORNEY IN FACT
309 SYCAMORE STREET
DECATUR GA 30030

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/2/2020
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B99 - Education N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: Yes
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name POL MINGUET
Signature Title ATTORNEY IN FACT
Signature Date 3/9/2021

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