FORM 1023-EZ for AUDREYS FAMILY OUTREACH CENTER

Field Data
EIN 86-1108524
Case Number EO-2016256-000510
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name AUDREYS FAMILY OUTREACH CENTER
Organization’s Mailing Address 4310 EAST HINES STREET
City FARMVILLE
State NC
ZIP 27828
Accounting period End 7
Primary contact name AUDREY VINES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

AUDREY VINES
DIRECTOR
4033 ALLEN STREET
FARMVILLE NC 27828

Officer/Director/Trustee Two

PATRICIA MINGES
SECRETARY
201 CROWN POINT ROAD
GREENVILLE NC 27858

Officer/Director/Trustee Three

GARY BEST
TRUSTEE
370 BRILEY ROAD
GREENVILLE NC 27834

Officer/Director/Trustee Four

KENNETH VINES
PRESIDENT
4238 DUDLEY GRANT DRIVE UNIT G
WINTERVILLE NC 28590

Officer/Director/Trustee Five

PHD FELTON BEST
TRUSTEE
245 UNIONVILLE AVENUE
PLAINVILLE CT 06062

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/21/2012
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P40 - Family Services
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 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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