FORM 1023-EZ for 360 ACHIEVE

Field Data
EIN 83-2661402
Case Number EO-2019029-000990
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name 360 ACHIEVE
Organization’s Mailing Address 100 CANE BRAKE DR
City COLUMBIA
State SC
ZIP 29223
Accounting period End 12
Primary contact name JAVON A MAYNOR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JAVON MAYNOR
PRESIDENT
100 CANE BRAKE DR
COLUMBIA SC 29223

Officer/Director/Trustee Two

KIMBERLY BAKER
VICE PRESIDENT
651 SAINT ANDREWS RD
COLUMBIA SC 29210

Officer/Director/Trustee Three

ORLANDO PELTZER
SECRETARY
132 FIRE TOWER LN
SAINT MATTHEWS SC 29135

Officer/Director/Trustee Four

MARCUS TOWNSEND
TREASURER
28 ABERDEEN WAY
ELGIN SC 29045

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/28/18
Organization Incorporation State SC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O53 - Youth Development - Business
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 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 JAVON MAYNOR
Signature Title PRESIDENT
Signature Date 12/19/18

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