FORM 1023-EZ for MODWOD

Field Data
EIN 82-4114983
Case Number EO-2018025-000201
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MODWOD
Organization’s Mailing Address 100 OLD EASTWOOD RD B-32
City WILMINGTON
State NC
ZIP 28403-516
Accounting period End 12
Primary contact name WILLIAM B BRAWLEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

WILLIAM BRAWLEY
PRESIDENT
735 SCHLOSS ST
WRIGHTSVILLE BEACH NC 28480-3160

Officer/Director/Trustee Two

LEEANN BRAWLEY
SECRETARY
735 SCHLOSS ST
WRIGHTSVILLE BEACH NC 28480-3160

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/23/18
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F60 - Counseling, Support Groups
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 Yes
Donation of funds No
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 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 WILLIAM BRAWLEY
Signature Title PRESIDENT
Signature Date 1/23/18

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