FORM 1023-EZ for AUTUMNS WAY

Field Data
EIN 87-2177756
Case Number EO-2021235-000177
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name AUTUMNS WAY
Organization’s Mailing Address 212 CONGAREE PARK DRIVE
City WEST COLUMBIA
State SC
ZIP 29169
Accounting period End 12
Primary contact name KIOSHA DICKEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KIOSHA DICKEY
DIRECTOR
212 CONGAREE PARK DRIVE
WEST COLUMBIA SC 29169-7647

Officer/Director/Trustee Two

JOSEPH DICKEY
CO-DIRECTOR
212 CONGAREE PARK DRIVE
WEST COLUMBIA SC 29169-7647

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/16/2021
Organization Incorporation State SC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W01 - Alliance/Advocacy Organizations
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 No
Correctness Declaration Yes
Signature Name KIOSHA DICKEY
Signature Title DIRECTOR
Signature Date 8/19/2021

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