FORM 1023-EZ for FRANCIS A RIVERS EMERGENCY PERMANENT SUPPORTIVE HOUSING FOUNDATION

Field Data
EIN 27-0162771
Case Number EO-2016347-000211
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FRANCIS A RIVERS EMERGENCY PERMANENT SUPPORTIVE HOUSING FOUNDATION
Organization’s Mailing Address P O BOX 42406
City CHARLOTTE
State NC
ZIP 28215-1938
Accounting period End 12
Primary contact name FRANCIS A RIVERS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

FRANCIS RIVERS
DIRECTOR
2504 LASSEN BAY PLACE
CHARLOTTE NC 28215-1938

Officer/Director/Trustee Two

JANICE RIVERS
BOARD MEMBER
2504 LASSEN BAY PLACE
CHARLOTTE NC 28215-1938

Officer/Director/Trustee Three

LYTONYA ALSTON
BOARD MEMBER
P O BOX 42406
CHARLOTTE NC 28215-1938

Officer/Director/Trustee Four

FRANCIS RIVERS JR
BOARD MEMBER
P O BOX 42406
CHARLOTTE NC 28215-1938

Organization’s website WWW.FAREPSHF.ORG
Organization’s email TONY594813@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/26/2009
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code L21 - Public Housing Facilities
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 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 Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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