FORM 1023-EZ for ROUGH ASHLAR WORK INC

Field Data
EIN 86-2728621
Case Number EO-2021211-000151
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ROUGH ASHLAR WORK INC
Organization’s Mailing Address 8302 UNDERWOOD ARBOR PLACE
City CARY
State NC
ZIP 27518
Accounting period End 12
Primary contact name JELANI VANHOLTEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JELANI VANHOLTEN
PRESIDENT & DIRECTOR
8302 UNDERWOOD ARBOR PLACE
CARY NC 27518

Officer/Director/Trustee Two

ED JOINES
TREASURER & DIRECTOR
907 SUSSEX LN
CARY NC 27511

Officer/Director/Trustee Three

NASIR ERVIN
SECRETARY & DIRECTOR
5452 RUTLEDGEVILLE LN
KNIGHTDALE NC 27545

Organization’s website
Organization’s email JELANIVANHOLTEN@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/16/2021
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
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 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 JELANI VANHOLTEN
Signature Title PRESIDENT & DIRECTOR
Signature Date 7/28/2021

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