FORM 1023-EZ for OBSIDIAN COMMUNITY
| Field | Data |
|---|---|
| EIN | 84-2833556 |
| Case Number | EO-2019273-000208 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | OBSIDIAN COMMUNITY |
| Organization’s Mailing Address | 12015 BULL SLOUGH RD |
| City | NORTHPORT |
| State | AL |
| ZIP | 35475 |
| Accounting period End | 6 |
| Primary contact name | WINFIELD EZELL JR |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
WINFIELD EZELL JR
CHAIRMAN
12015 BULL SLOUGH RD
NORTHPORT AL 35475
Officer/Director/Trustee Two
ATHANASIUS DARNELL ISAAC
BOARD MEMBER
520 33RD AVENUE
TUSCALOOSA AL 35401
Officer/Director/Trustee Three
LESLIE MARIE DANIELS
BOARD MEMBER
10828 SE 260TH ST
KENT WA 98030
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 9/3/19 |
| Organization Incorporation State | AL |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | P50 - Personal Social Services |
| 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 | Yes |
| One Third Support Gifts | No |
| Benefit of College | No |
| Private Foundation 508(e) | No |
| Seeking Retroactive Reinstatement | No |
| Seeking Section 7 Reinstatement | No |
| Correctness Declaration | Yes |
| Signature Name | WINFIELD EZELL JR |
| Signature Title | CHAIRMAN |
| Signature Date | 9/26/19 |
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