FORM 1023-EZ for FAIRLEY WELL RESOURCE CENTER INCORPORATED

Field Data
EIN 85-2175749
Case Number EO-2020212-000526
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FAIRLEY WELL RESOURCE CENTER INCORPORATED
Organization’s Mailing Address 6028 WATERLOO DRIVE
City CHARLOTTE
State NC
ZIP 28269-2388
Accounting period End 12
Primary contact name DARNETTE PORTER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DARNETTE PORTER
PRESIDENT
6028 WATERLOO DR
CHARLOTTE NC 28269-2388

Officer/Director/Trustee Two

ROBERT FAIRLEY
VICE PRESIDENT
6028 WATERLOO DRIVE
CHARLOTTE NC 28269-2388

Officer/Director/Trustee Three

RICHARD BARNES
SECRETARY
3205 PLANET DRIVE
RALEIGH NC 27604-3903

Officer/Director/Trustee Four

PAMELA WILLIAMS
TREASURE
1624 FLAT RIVER DRIVE APT 103
CHARLOTTE NC 28262-5321

Officer/Director/Trustee Five

ANNIE FAIRLEY
BOARD MEMBER
185 ELROD ROAD
MAXTON NC 28364

Organization’s website
Organization’s email QCBRIDGEBUILDERS@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/17/2020
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P80 - Services to Promote the Independence of Specific Populations
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 DARNETTE PORTER
Signature Title PRESIDENT
Signature Date 7/28/2020

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