FORM 1023-EZ for TRIUMPH COMMUNITY ALLIANCE

Field Data
EIN 83-3481882
Case Number EO-2019084-000258
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name TRIUMPH COMMUNITY ALLIANCE
Organization’s Mailing Address 105 FOX DR
City DUDLEY
State NC
ZIP 28333
Accounting period End 12
Primary contact name MICHAEL GARNER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHAEL GARNER
CHIEF EXECUTIVE OFFICER
105 FOX DRIVE
DUDLEY NC 28333

Officer/Director/Trustee Two

CURTIS DAWSON
SECERTARY
209 WYATT DRIVE
GOLDSBORO NC 27534

Officer/Director/Trustee Three

BRITTANY BROWN
CHIEF FINANCIAL OFFICER
105 FOX DRIVE
DUDLEY NC 28333

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/27/19
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code I31 - Transitional Care, Half-Way House for Offenders, Ex-Offenders
Organization’s purpose Charitable: Yes
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 MICHAEL GARNER
Signature Title PRESIDENT
Signature Date 3/21/19

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