FORM 1023-EZ for 4-WORD-BOUND INC

Field Data
EIN 82-3961000
Case Number EO-2018068-000285
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name 4-WORD-BOUND INC
Organization’s Mailing Address 3359 FOREST RIDGE ROAD
City ROANOKE
State VA
ZIP 24018
Accounting period End 12
Primary contact name MITZI HARTWELL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MITZI HARTWELL
PRESIDENT
3359 FOREST RIDGE ROAD
ROANOKE VA 24018

Officer/Director/Trustee Two

ROCHELLE MADDEN
TREASURER
4420 HUNTMASTER CIRCLE
ROANOKE VA 24018

Officer/Director/Trustee Three

HOLLY CHRISTLEY
SECRETARY
6936 STONEY POINT ROAD
ROANOKE VA 24018

Officer/Director/Trustee Four

TAMARA SANTA ANA
DIRECTOR
206 N MAIN STREET STE 100
LEXINGTON VA 24450

Officer/Director/Trustee Five

AMBER JOHNSON
VICE PRESIDENT
6936 STONEY POINT ROAD
ROANOKE VA 24018

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/20/16
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E86 - Patient Services - Entertainment, Recreation
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 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 MITZI HARTWELL
Signature Title PRESIDENT
Signature Date 3/7/18

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