FORM 1023-EZ for WARMACK YOUTH PROVIDENCE INC

Field Data
EIN 47-4277186
Case Number EO-2015239-000170
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name WARMACK YOUTH PROVIDENCE INC
Organization’s Mailing Address 2600 STEDMAN DR NW
City WILSON
State NC
ZIP 27896
Accounting period End 12
Primary contact name VANESSA WARMACK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

VANESSA WARMACK
PRESIDENT
2600 STEDMAN DR NW
WILSON NC 27896

Officer/Director/Trustee Two

VANESSA DANIELS
VICE PRESIDENT
2600 STEDMAN DR NW
WILSON NC 27896

Officer/Director/Trustee Three

TABITHA LOCKETT
SECRETARY
2600 STEDMAN DR NW
WILSON NC 27896

Officer/Director/Trustee Four

RACHELLE PIERCE
TREASURER
2600 STEDMAN DR NW
WILSON NC 27896

Officer/Director/Trustee Five

BRADLEY HORNE
DIRECTOR
2600 STEDMAN DR NW
WILSON NC 27896

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/15/2015
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
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 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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