FORM 1023-EZ for TRINITY WELLNESS COMMUNITY OUTREACH

Field Data
EIN 81-4300394
Case Number EO-2017009-000237
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name TRINITY WELLNESS COMMUNITY OUTREACH
Organization’s Mailing Address 2313 KATIE LEIGH LANE
City MONROE
State NC
ZIP 28110
Accounting period End 12
Primary contact name C MARIA MACON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KEISHA BARNES
PRESIDENT
3007 THORNDALE RD
INDIAN TRAIL NC 28079

Officer/Director/Trustee Two

KELLY WATTS
SECRETARY
1133 FALLS CREEK LANE 14
CHARLOTTE NC 28209

Officer/Director/Trustee Three

MELLISSA RIVERS
TREASURER
5008 CENTERVIEW DR
INDIAN TRAIL NC 28079

Officer/Director/Trustee Four

VICTORIA SALLEY
DIRECTOR
1407 PAMELA DR
MONROE NC 28112

Officer/Director/Trustee Five

MONICA BURRELL
DIRECTOR
8413 TERRA COTTA DR
CHARLOTTE NC 28215

Organization’s website
Organization’s email K.BARNES@TRINITYWELLNESSCC.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/6/2016
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E70 - Public Health Program (Includes General Health and Wellness Promotion Services)
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 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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