FORM 1023-EZ for ODESSA WOODBURRY SIMMONS

Field Data
EIN 86-3647532
Case Number EO-2021126-000240
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ODESSA WOODBURRY SIMMONS
Organization’s Mailing Address 947 OLD BAILEY RD
City RIDGELAND
State SC
ZIP 29936-8065
Accounting period End 12
Primary contact name JOHNATHAN BOLDEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOHNATHAN BOLDEN
OFFICER
947 OLD BAILEY RD
RIDGELAND SC 29936-8065

Organization’s website
Organization’s email AVERY.BOLDEN81@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/4/2021
Organization Incorporation State SC
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 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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name JOHNATHAN BOLDEN
Signature Title OFFICER
Signature Date 5/4/2021

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