FORM 1023-EZ for L J C ROADMAPS 4LIFE INC

Field Data
EIN 81-3145107
Case Number EO-2016322-000108
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name L J C ROADMAPS 4LIFE INC
Organization’s Mailing Address 4001 HUNTSMOOR LANE
City WILSON
State NC
ZIP 27896
Accounting period End 12
Primary contact name JACQUELINE STANLEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LASHONE MCCLAMMY
EXECUTIVE DIRECTOR
4001 HUNTSMOOR LANE
WILSON NC 27896

Officer/Director/Trustee Two

TONY ROBINSON
CHAIRPERSON
45 GILMERTON COURT
BLYTHEWOOD SC 29016

Officer/Director/Trustee Three

HARRIET MITCHELL
CO CHAIRPERSON
1300 TRIBUTE CENTER DR APT 384
RALEIGH NC 27612

Officer/Director/Trustee Four

AMY FARMER
SECRETARY
300 NORTH AVENUE
WILSON NC 27893

Officer/Director/Trustee Five

TASHIKA WELLMAN
TREASURER
909 PARKSIDE DRIVE
WILSON NC 27896

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/8/2016
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 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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