FORM 1023-EZ for JUST FOR HIM SCHOOL OF A SECOND CHANCE

Field Data
EIN 46-3588096
Case Number EO-2017102-000204
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name JUST FOR HIM SCHOOL OF A SECOND CHANCE
Organization’s Mailing Address 1503 HILL COURT
City WINSTON SALEM
State NC
ZIP 27107
Accounting period End 4
Primary contact name KIM WALKER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

FRED MOORE
TRUSTEE
801 MLK BLVD
WINSTON SALEM NC 27101

Officer/Director/Trustee Two

JOHNETTA HUNTLEY
ASSISTANT DIRCTOR
562 CALADUIM COURT
KERNERSVILLE NC 27284

Officer/Director/Trustee Three

CURTIS WILKS
MEDIA DIRECTOR
3865 FOREST VALLEY ROAD
WINSTON SALEM NC 27105

Officer/Director/Trustee Four

KIM WALKER
DIRECTOR
1503 HILL COURT
WINSTON SALEM NC 27107

Organization’s website WWW.JUSTFORHIMS2C.ORG
Organization’s email JUSTFORHIMS2C@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/16/2013
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B80 - Student Services, Organizations of Students
Organization’s purpose Charitable: No
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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