FORM 1023-EZ for THE CODY JAMES WORDEN AND FAMILY CHARITABLE TRUST

Field Data
EIN 83-2905147
Case Number EO-2019238-000253
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE CODY JAMES WORDEN AND FAMILY CHARITABLE TRUST
Organization’s Mailing Address PO BOX 56
City FORT ROCK
State OR
ZIP 97735
Accounting period End 12
Primary contact name ALMA WORDEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ALMA WORDEN
TRUSTEE
76389 PEACEFUL LN
FORT ROCK OR 97735

Officer/Director/Trustee Two

JOSEPH WORDEN
TRUSTEE
76389 PEACEFUL LN
FORT ROCK OR 97735

Officer/Director/Trustee Three

MARY WOODWORTH
TRUSTEE
PO BOX 11
ADEL OR 97620

Organization’s website
Organization’s email
Organization Incorporated
Organization trust Yes
Necessary Organizing Documents Yes
Organization Incorporation Date 12/11/18
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B82 - Scholarships, Student Financial Aid Services, Awards
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 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 ALMA WORDEN
Signature Title TRUSTEE
Signature Date 8/22/19

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