FORM 1023-EZ for THIRD WAY COMMUNITY

Field Data
EIN 85-2018284
Case Number EO-2020209-000206
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THIRD WAY COMMUNITY
Organization’s Mailing Address PO BOX 2364
City ANAHEIM
State CA
ZIP 92814
Accounting period End 12
Primary contact name KELLY DOUGLAS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KELLY DOUGLAS
CEO
10182 SHERRILL STREET
ANAHEIM CA 92804

Officer/Director/Trustee Two

DIANA BURG
CFO
10182 SHERRILL STREET
ANAHEIM CA 92804

Officer/Director/Trustee Three

SCOTT TRICKETT
SECRETARY
3331 PALO VERDE AVENUE
LONG BEACH CA 90808

Organization’s website THIRDWAYCOMMUNITY.ORG
Organization’s email THIRDWAYCOMMUNITY@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/19/2020
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X20 - Christian
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
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 Yes
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 KELLY DOUGLAS
Signature Title CEO
Signature Date 7/17/2020

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