FORM 1023-EZ for COREYANTHONY INCORPORATED

Field Data
EIN 46-4751754
Case Number EO-2014338-000128
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name COREYANTHONY INCORPORATED
Organization’s Mailing Address 4835 CHESNEY ST NW
City CONCORD
State NC
ZIP 28027
Accounting period End 12
Primary contact name SHASHANA DAVIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

BETHE WATSON
PRESIDENT
4835 CHESNEY ST NW
CONCORD NC 28027

Officer/Director/Trustee Two

TONY WATSON
TREASURER
4835 CHESNEY ST NW
CONCORD NC 28027

Officer/Director/Trustee Three

SHASHANA DAVIS
SECRETARY
307 PULASKI DR SW
CONCORD NC 28027

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/30/2014
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: 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 Yes
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 Yes
One Third Support Gifts No
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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