FORM 1023-EZ for EXODUS RECUPERATION CENTER

Field Data
EIN 87-2040054
Case Number EO-2021239-000334
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name EXODUS RECUPERATION CENTER
Organization’s Mailing Address 6101 WILLIAM COURT
City ROCKY MOUNT
State NC
ZIP 27803
Accounting period End 12
Primary contact name NORA PRISCILLA ROBERSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ALAN ATWATER
BOARD MEMBER
10306 BEAVERDAM RD
MIDDLESEX NC 27557-9786

Officer/Director/Trustee Two

SHELBY LANE
BOARD MEMBER
2529 BP LANE
ROCKY MOUNT NC 27803-6003

Officer/Director/Trustee Three

LYNELL PERRY
BOARD MEMBER
3909 BELL ST NW
WILSON NC 27896

Officer/Director/Trustee Four

NORA ROBERSON
CHAIRMAN OF THE BOARD
6101 WILLIAM COURT
ROCKY MOUNT NC 27803-7814

Organization’s website
Organization’s email EXODUSRECUPERATIONCENTER@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/31/2021
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F33 - Group Home, Residential Treatment Facility - Mental Health Related
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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 NORA ROBERSON
Signature Title CHAIRMAN OF THE BOARD
Signature Date 8/25/2021

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