FORM 1023-EZ for NEIGHBORHOOD CARE CENTER INC

Field Data
EIN 81-4933724
Case Number EO-2017018-000446
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name NEIGHBORHOOD CARE CENTER INC
Organization’s Mailing Address 19711 SMITH CIRCLE
City CORNELIUS
State NC
ZIP 28031
Accounting period End 12
Primary contact name PAUL GLENN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHELLE HOVERSON
PRESIDENT
19823 LAMPLIGHTERS WAY
CORNELIUS NC 28031

Officer/Director/Trustee Two

TOM KOCH
VICE PRESIDENT
8914 WASHAM POTTS RD
CORNELIUS NC 28031

Officer/Director/Trustee Three

MICHAEL CARTER
SEC/TREAS
10529 DONAHUE DR
HUNTERSVILLE NC 28078

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/3/2016
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T23 - Private Operating Foundations
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
Scientific: No
Literary: Yes
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
Signature Title
Signature Date

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