FORM 1023-EZ for OVERCOMERS RECOVERY

Field Data
EIN 84-1825192
Case Number EO-2019148-000527
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name OVERCOMERS RECOVERY
Organization’s Mailing Address 4407 PLYMOUTH ROCK TRAIL EAST
City SOUTHSIDE
State AL
ZIP 35907
Accounting period End 12
Primary contact name NICHOLAS JOHNSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NICHOLAS JOHNSON
EXECUTIVE DIRECTOR
4407 PLYMOUTH
SOUTHSIDE AL 35907

Officer/Director/Trustee Two

BRITTANY PENDERGRASS
DIRCECTOR
911 GREEN VALLEY RD
GLENCOE AA 35905

Officer/Director/Trustee Three

TEDDY STARGILL
DIRECTOR
5238 RIDDLES BEND ROAD
RAINBOW CITY AL 35907

Officer/Director/Trustee Four

RANDOLPH THROWER
DIRECTOR
206 FORMAN DR
ATTALLA AL 35954

Officer/Director/Trustee Five

JEFF STEPHENS
DIRECTOR
1209 WOOD AVE SE
ATTALLA AL 35954

Organization’s website N/A
Organization’s email NICKJ4077@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/1/19
Organization Incorporation State AL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code L40 - Low-Cost Temporary Housing
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 NICHOLAS JOHNSON
Signature Title EXECUTIVE DIRECTOR
Signature Date 5/24/19

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