FORM 1023-EZ for EVERGREEN INTERNATIONAL INC

Field Data
EIN 38-3978638
Case Number EO-2015278-000366
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name EVERGREEN INTERNATIONAL INC
Organization’s Mailing Address 9202 CRUTCHFIELD LANE
City BOWIE
State MD
ZIP 20720-3221
Accounting period End 12
Primary contact name CYNTHIA OSHODI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

CYNTHIA OSHODI
PRESIDENT/DIRECTOR
9202 CRUTCHFIELD LANE
BOWIE MD 20720-3221

Officer/Director/Trustee Two

CHARLENE OSHODI
DIRECTOR
312 MARSHALL AVE 1001
LAUREL MD 20707-4844

Officer/Director/Trustee Three

COLLEEN OSHODI
DIRECTOR AND TREASURER/CFO
9202 CRUTCHFIELD LANE
BOWIE MD 20720-3221

Officer/Director/Trustee Four

ROTIMI IKUSHIKA
SECRETARY
9202 CRUTCHFIELD LANE
BOWIE MD 20720-3221

Organization’s website
Organization’s email HORIZONHEALTH@VERIZON.NET
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/9/2015
Organization Incorporation State MD
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P99 - Human Services - Multipurpose and Other N.E.C.
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 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
Signature Title
Signature Date

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