FORM 1023-EZ for A WAY BACK SUPPORTIVE SERVICES
| Field | Data |
|---|---|
| EIN | 85-1150703 |
| Case Number | EO-2020147-000565 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | A WAY BACK SUPPORTIVE SERVICES |
| Organization’s Mailing Address | 11191 ABERDEEN ST NE UNIT L |
| City | BLAINE |
| State | MN |
| ZIP | 55449 |
| Accounting period End | 12 |
| Primary contact name | CYNACIA WILLIAMS |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
CYNACIA WILLIAMS
PRESIDENT
11191 ABERDEEN ST NE UNIT L
BLAINE MN 55449
Officer/Director/Trustee Two
RAMON JAMES
VICE PRESIDENT
11191 ABERDEEN ST NE UNIT L
BLAINE MN 55449
Officer/Director/Trustee Three
CHAURISHA HOLLEY
TREASURER
3351 NEWTON AVE NORTH
MINNEAPOLIS MN 55412
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 5/11/2020 |
| Organization Incorporation State | MN |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | F20 - Alcohol, Drug and Substance Abuse, Dependency Prevention and Treatment |
| Organization’s purpose | Charitable: Yes Religious: No Educational: Yes Scientific: No Literary: Yes 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 | Yes |
| Conducting Activities Outside of United States | No |
| Financial transactions with officers | No |
| Unrelated Gross Income $1,000 or More | Yes |
| Gaming Activity | No |
| Disaster relief assistance | Yes |
| 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 | CYNACIA WILLIAMS |
| Signature Title | PRESIDENT |
| Signature Date | 5/22/2020 |
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