FORM 1023-EZ for EVERGREEN 2 INC

Field Data
EIN 84-4952199
Case Number EO-2021026-000088
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name EVERGREEN 2 INC
Organization’s Mailing Address 2210 FRONT STREET
City CUYAHOGA FALLS
State OH
ZIP 44221
Accounting period End 12
Primary contact name JANA L TUCKER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JANA TUCKER
OFFICER
641 WOODLAND DR
TALLMADGE OH 44278

Officer/Director/Trustee Two

JILL SKAPIN
OFFICER
3566 DAYTON AVE
KENT OH 44240

Officer/Director/Trustee Three

MANDY ADAMS
OFFICER
1639 20TH ST
CUYAHOGA FALLS OH 44223

Officer/Director/Trustee Four

AMANDA PAULLIN
OFFICER
17034 MAYFIELD RD
HUNTSBURG OH 44046

Organization’s website
Organization’s email JANA.TUCKER704@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/23/2020
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E60 - Health Support 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 No
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 JANA TUCKER
Signature Title OFFICER
Signature Date 12/7/2020

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