FORM 1023-EZ for NAMI PITT COUNTY- NATIONAL ALLIANCEON MENTAL ILLNESS PITT COUNTY

Field Data
EIN 30-0388605
Case Number EO-2016235-000111
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name NAMI PITT COUNTY- NATIONAL ALLIANCEON MENTAL ILLNESS PITT COUNTY
Organization’s Mailing Address 110 MARTINSBOROUGH RD
City GREENVILLE
State NC
ZIP 27858
Accounting period End 12
Primary contact name LARRY HAGLER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHRISTINNE SPENCER
PRESIDENT
3636 SPEIGHT SEED FARM RD
WINTERVILLE NC 28590

Officer/Director/Trustee Two

MILDRED HAGLER
VICE PRESIDENT
110 MARTINSBOROUGH RD
GREENVILLE NC 27858

Officer/Director/Trustee Three

LARRY HAGLER
TREASURER
110 MARTINSBOROUGH RD
GREENVILLE NC 27858

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/17/2016
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code C02 - Management & Technical Assistance
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 Yes
Compensation of Officer director trustee No
Donation of funds Yes
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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