FORM 1023-EZ for ORIGINS OF CLEAN INC

Field Data
EIN 85-4118521
Case Number EO-2021062-001288
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ORIGINS OF CLEAN INC
Organization’s Mailing Address POST OFFICE BOX 1525
City AUGUSTA
State GA
ZIP 30903-1525
Accounting period End 12
Primary contact name ASHLEY SWEET
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ASHLEY SWEET
PRESIDENT
819 WOODBERRY DRIVE
EVANS GA 30809-4456

Officer/Director/Trustee Two

HARRIS WEINSTEIN
SENIOR VICE PRESIDENT
1326 REYNOLDS STREET
AUGUSTA GA 30901-1047

Officer/Director/Trustee Three

DAVID SWEET
SECRETARY
819 WOODBERRY DRIVE
AUGUSTA GA 30809-4456

Officer/Director/Trustee Four

JESSICA WEINSTEIN
VICE PRESIDENT
1326 REYNOLDS STREET
AUGUSTA GA 30901-1047

Officer/Director/Trustee Five

SHARON CARSON
CHAIRMAN
309 RIVER RETREAT COURT
MARTINEZ GA 30907-4998

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/1/2020
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S11 - Single Organization Support
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 ASHLEY SWEET
Signature Title PRESIDENT
Signature Date 1/4/2021

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