FORM 1023-EZ for UCAN-UNITED COMMUNITIES ASSISTANCENETWORK

Field Data
EIN 10-0780036
Case Number EO-2020027-000437
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name UCAN-UNITED COMMUNITIES ASSISTANCENETWORK
Organization’s Mailing Address 1269 CEDAR GROVE RD SW
City SUPPLY
State NC
ZIP 28462
Accounting period End 12
Primary contact name SANDRA BROOKS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SANDRA BROOKS
PRESIDENT/CEO
414 GARRON COURT
MYRTLE BEACH SC 29579

Officer/Director/Trustee Two

SYNORA BROOKS
SECRETARY
741 CEDAR GROVE RD SW
SUPPLY NC 28462

Officer/Director/Trustee Three

FONSTENA PECK
VICE-PRESIDENT/TREASURER
256 WILDWOOD STREET
SHALLOTTE NC 28470

Organization’s website
Organization’s email UCAN2003@ATMC.NET
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/28/2003
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: Yes
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
Qualify For Exemption No
Legislation influence No
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 Yes
One Third Support Public No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name SANDRA BROOKS
Signature Title PRESIDENT/CEO
Signature Date 1/24/2020
EIN 10-0780036
Case Number EO-2016047-000359
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name UCAN-UNITED COMMUNITIES ASSISTANCENETWORK
Organization’s Mailing Address 256 WILDWOOD STREET NW
City SHALLOTTE
State NC
ZIP 28470
Accounting period End 6
Primary contact name SANDRA BROOKS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

FONSTENA PECK
PRESIDENT
256 WILDWOOD STREET NW
SHALLOTTE NC 28470

Officer/Director/Trustee Two

TARSHAL WILSON
SECRETARY
2483 WHIP POOR WILL RD NW
LONGWOOD NC 28452

Officer/Director/Trustee Three

SUSAN MOODY
TREASURER
631 BRICKLANDING RD
SHALLOTTE NC 28470

Organization’s website
Organization’s email UCAN2003@ATMC.NET
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/28/2003
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: Yes
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 No
Unrelated Gross Income $1,000 or More No
Gaming Activity Yes
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 Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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