FORM 1023-EZ for EXODUS EXPERIENCE INC

Field Data
EIN 47-5529846
Case Number EO-2015329-000289
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name EXODUS EXPERIENCE INC
Organization’s Mailing Address 7723 TYLERS PLACE PMB320
City WEST CHESTER
State OH
ZIP 45069-4684
Accounting period End 12
Primary contact name KAREN ATKINSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ANTHONY ATKINSON
CHAIRMAN OF THE BOARD
8944 HEATHER ANN DRIVE
WEST CHESTER OH 45069-3782

Officer/Director/Trustee Two

BRENDA BEARD
VICE CHAIRMAN
6635 WILDER WOODS WAY
MASON OH 45040-4114

Officer/Director/Trustee Three

MARA CASEY
SECRETARY
4075 SHARON PARK LANE APT 25
SHARONVILLE OH 45241-2049

Officer/Director/Trustee Four

KAREN ATKINSON
CEO - FOUNDER
8944 HEATHER ANN DRIVE
WEST CHESTER OH 45069-3782

Officer/Director/Trustee Five

MARSHA MARTIN
COO/CO-FOUNDER
3206 WONDERVIEW DRIVE
DAYTON OH 45414-5443

Organization’s website WWW.EXODUSEXPERIENCE.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/5/2013
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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