FORM 1023-EZ for DIABETES TASK FORCE OF ROCKINGHAM COUNTY NC

Field Data
EIN 83-2816889
Case Number EO-2019038-000890
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name DIABETES TASK FORCE OF ROCKINGHAM COUNTY NC
Organization’s Mailing Address 618 S MAIN STREET
City REIDSVILLE
State NC
ZIP 27320
Accounting period End 12
Primary contact name JESSIE MEADOR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

STOKES ANN HUNT
PRESIDENT
618 S MAIN STREET
REIDSVILLE NC 27320

Officer/Director/Trustee Two

JESSIE MEADOR
VICE PRESIDENT
618 S MAIN STREET
REIDSVILLE NC 27320

Officer/Director/Trustee Three

GEBRESELASSIE NIDA
TREASURER
1107 S MAIN STREET
REIDSVILLE NC 27320

Officer/Director/Trustee Four

KATRINA WHITE
SECRETARY
371 NC HIGHWAY 65
REIDSVILLE NC 27320

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/2/18
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G99 - Diseases, Disorders, Medical Disciplines N.E.C.
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 JESSIE MEADOR
Signature Title VICE PRESIDENT
Signature Date 1/25/19

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