FORM 1023-EZ for WORTHMORE INC

Field Data
EIN 81-2917732
Case Number EO-2016214-000365
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name WORTHMORE INC
Organization’s Mailing Address 4444 GERMANNA HIGHWAY SUITE 190A
City LOCUST GROVE
State VA
ZIP 22508
Accounting period End 12
Primary contact name JAY GARRISS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MELISSA GARRISS
DIRECTOR
31268 KEIFERS RIDGE RD
LOCUST GROVE VA 22508

Officer/Director/Trustee Two

JAY GARRISS
DIRECTOR
31268 KEIFERS RIDGE RD
LOCUST GROVE VA 22508

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/3/2016
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X20 - Christian
Organization’s purpose Charitable: Yes
Religious: Yes
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
Signature Title
Signature Date

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