FORM 1023-EZ for NEXT LEVEL DISASTER RELIEF

Field Data
EIN 82-3007423
Case Number EO-2017284-000196
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name NEXT LEVEL DISASTER RELIEF
Organization’s Mailing Address 6616 WHITE MIST LN
City CHARLOTTE
State NC
ZIP 28269
Accounting period End 9
Primary contact name ANDRE GAGNE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANDRE GAGNE
PRESIDENT
6616 WHITE MIST LN
CHARLOTTE NC 28269

Officer/Director/Trustee Two

CLIFF KINCHEN
VICE PRESIDENT
3359 LINETENDER DR
DAVIDSON NC 28036

Officer/Director/Trustee Three

JENNIFER GAGNE
TREASURER
6616 WHITE MIST LN
CHARLOTTE NC 28269

Officer/Director/Trustee Four

JESSICA COCHRAN
SECRETARY
738 DOGWOOD LN
DAVIDSON NC 28036

Officer/Director/Trustee Five

GEORGE BRINZEY
OFFICER
4415 RANCLIFFE CT
CHARLOTTE NC 28269

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/1/2017
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code M99 - Public Safety, Disaster Preparedness, and Relief N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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 Yes
Donation of funds Yes
Conducting Activities Outside of United States No
Financial transactions with officers Yes
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance Yes
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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