FORM 1023-EZ for INSPIRE AND MOTIVATE

Field Data
EIN 47-2224273
Case Number EO-2014310-000163
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name INSPIRE AND MOTIVATE
Organization’s Mailing Address 222 EAST BLAND ST UNIT 356
City CHARLOTTE
State NC
ZIP 28203-6183
Accounting period End 12
Primary contact name JERMAINE SCOTT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JERMAINE SCOTT
PRESIDENT
222 EAST BLAND ST UNIT 356
CHARLOTTE NC 28203-6183

Officer/Director/Trustee Two

SHAWNTE EVANS
VICE PRESIDENT
99 JACKSON ST
DAVIDSON NC 28036-1007

Officer/Director/Trustee Three

KOURTNEY SCOTT
SECRETARY
222 EAST BLAND ST UNIT 356
CHARLOTTE NC 28203-6183

Organization’s website
Organization’s email INSPIREANDMOTIVATE@OUTLOOK.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/14/2014
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code J20 - Employment Procurement Assistance, Job Training
Organization’s purpose Charitable: No
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 No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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