FORM 1023-EZ for THE WAYBACK PROGRAM

Field Data
EIN 47-4387563
Case Number EO-2019192-000229
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE WAYBACK PROGRAM
Organization’s Mailing Address 852 WOOD CADE COVE
City CORDOVA
State TN
ZIP 38018
Accounting period End 12
Primary contact name CHANDRA ECHOLS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHANDRA ECHOLS
CHAIRMAN
852 WOOD CADE COVE
CORDOVA TN 38018

Officer/Director/Trustee Two

ROSCOE PERRY
TREASURER
399 NORTH HOLMES ROAD
MEMPHIS TN 38112

Officer/Director/Trustee Three

VICTORIA CLARK
SECRETARY
1118 RAILTON ROAD
MEMPHIS TN 38111

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/2/15
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S20 - Community, Neighborhood Development, Improvement (General)
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 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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name CHANDRA ECHOLS
Signature Title CHAIRMAN
Signature Date 7/9/19
EIN 47-4387563
Case Number EO-2015196-000194
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE WAYBACK PROGRAM INC
Organization’s Mailing Address 852 WOOD CADE COVE
City CORDOVA
State TN
ZIP 38018
Accounting period End 12
Primary contact name CHANDRA ECHOLS-PERRY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

CHANDRA ECHOLS-PERRY
CHAIRMAN
852 WOOD CADE COVE
CORDOVA TN 38018

Officer/Director/Trustee Two

ROCHELE ECHOLS
TREASURER
1723 FRAYSER BLVD
MEMPHIS TN 38127

Officer/Director/Trustee Three

LARRY DOUGLASS
SECRETARY
3593 NORTH TREZEVANT
MEMPHIS TN 38127

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/2/2015
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code J20 - Employment Procurement Assistance, Job Training
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 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 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
Signature Title
Signature Date

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