FORM 1023-EZ for XODUS III - COMMUNITY DEVELOPMENT CORPORATION

Field Data
EIN 45-5050748
Case Number EO-2015251-000423
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name XODUS III - COMMUNITY DEVELOPMENT CORPORATION
Organization’s Mailing Address 405 PENDLETON STREET
City NORFOLK
State VA
ZIP 23523
Accounting period End 12
Primary contact name LEONTINE T BRACY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ROBERT FORTT
EXECUTIVE DIRECTOR
5349 COMMONS COURT
VIRGINIA BEACH VA 23462

Officer/Director/Trustee Two

WILLIE MCNAIR
DIRECTOR
2032 MIDWAY AVENUE
CHESAPEAKE VA 23324

Officer/Director/Trustee Three

LEONTINE BRACY
DIRECTOR
4465 REVERE DRIVE
VIRGINIA BEACH VA 23456

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/16/2012
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P99 - Human Services - Multipurpose and Other N.E.C.
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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