FORM 1023-EZ for BURGESS COMMUNITY EVOLVING ORGANIZATION INC

Field Data
EIN 87-0952691
Case Number EO-2021260-000278
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BURGESS COMMUNITY EVOLVING ORGANIZATION INC
Organization’s Mailing Address 6162 SALEM ROAD
City MYRTLE BEACH
State SC
ZIP 29588
Accounting period End 12
Primary contact name JAMES SMITH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

WANDA DAVIS
PRESIDENT
6162 SALEM ROAD
MYRTLE BEACH SC 29588

Officer/Director/Trustee Two

SAMMY SMALL
VICE PRESIDENT
6207 BEN LANE
MYRTLE BEACH SC 29588

Officer/Director/Trustee Three

EBONY MYERS
SECRETARY
914 MYERS INN
MYRTLE BEACH SC 29588

Officer/Director/Trustee Four

SHARON BUTLER
BOARD MEMBER
10951 FREEWOOD ROAD
MYRTLE BEACH SC 29588

Organization’s website BURGESSCOMMUNITYCT.WIXSITE.COM
Organization’s email BURGESSCOMMUNITYCTR@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/31/2021
Organization Incorporation State SC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: Yes
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 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 WANDA DAVIS
Signature Title PRESIDENT
Signature Date 9/15/2021

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