FORM 1023-EZ for COMMUNITY CORPORATION OF AMERICA

Field Data
EIN 86-3798155
Case Number EO-2021190-000283
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name COMMUNITY CORPORATION OF AMERICA
Organization’s Mailing Address POST OFFICE BOX 2902
City ORANGEBURG
State SC
ZIP 29116
Accounting period End 12
Primary contact name ADOLPHUS JOHNSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ADOLPHUS JOHNSON
PRESIDENT
PO BOX 2902
ORANGEBURG SC 29116

Officer/Director/Trustee Two

KEMEKA JOHNSON
SECRETARY & TREASURER
PO BOX 2902
ORANGEBURG SC 29116

Officer/Director/Trustee Three

ARLENE GIDRON
DIRECTOR
PO BOX 2902
ORANGEBURG SC 29116

Officer/Director/Trustee Four

SAMARROW PELZER
DIRECTOR
PO BOX 2902
ORANGEBURG SC 29116

Organization’s website NOT APPLICABLE
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/29/2021
Organization Incorporation State SC
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: Yes
Educational: Yes
Scientific: Yes
Literary: Yes
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 ADOLPHUS JOHNSON
Signature Title PRESIDENT
Signature Date 7/7/2021

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