FORM 1023-EZ for AT THE WELL
| Field | Data |
|---|---|
| EIN | 46-1216366 |
| Case Number | EO-2016104-000161 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | AT THE WELL |
| Organization’s Mailing Address | 202 STATE PARK ROAD |
| City | TROUTMAN |
| State | NC |
| ZIP | 28166 |
| Accounting period End | 12 |
| Primary contact name | DAPHNE MATTHEWS |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $400.00 |
Officer/Director/Trustee One
DAPHNE MATTHEWS
DIRECTOR OF FINANCE
191 REGENCY RD
MOORESVILLE NC 28117
Officer/Director/Trustee Two
CHRISTY EDWARDS
FOUNDER
202 STATE PARK ROAD
TROUTMAN NC 28166
Officer/Director/Trustee Three
MAUREEN TOMERLIN
DIRECTOR OF DEVELOPMENT
174 FIELDSTONE FARM DRIVE
STATESVILLE NC 28625
Officer/Director/Trustee Four
MICHELLE MCNAIR
EXECUTIVE DIRECTOR
196 STATE PARK ROAD
TROUTMAN NC 28166
| Organization’s website | ATTHEWELLEXPERIENCE.ORG |
|---|---|
| Organization’s email | ATTHEWELL2012@GMAIL.COM |
| Organization Incorporated | No |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 8/10/2012 |
| Organization Incorporation State | NC |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | X20 - Christian |
| Organization’s purpose | Charitable: No Religious: Yes 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 | 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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