FORM 1023-EZ for RE-ENTRY STAFFING AGENCY

Field Data
EIN 82-3436070
Case Number EO-2020093-000289
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name RE-ENTRY STAFFING AGENCY
Organization’s Mailing Address 337 HIDDEN TIMBER LANE
City GREENSBORO
State NC
ZIP 27405
Accounting period End 12
Primary contact name MONICA PARTLOW
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MONICA PARTLOW
EXECUTIVE DIRECTOR
337 HIDDEN TIMBER LANE
GREENSBORO NC 27405

Officer/Director/Trustee Two

BRAD LILLEY
BOARD CHAIR
4309 GARDEN CLUB STREET
HIGH POINT NC 27265

Officer/Director/Trustee Three

GREG COMMANDER
VICE CHAIR
1300 FURLOUGH DRIVE
HIGH POINT NC 27265

Officer/Director/Trustee Four

TIFFANY JACOBS
SECRETARY
2023 QUIL COURT
KANNAPOLIS NC 28083

Officer/Director/Trustee Five

MONIQUE DALTON
TREASURER
3936 STANFORD RUN COURT
HIGH POINT NC 27265

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/16/2017
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code I31 - Transitional Care, Half-Way House for Offenders, Ex-Offenders
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 MONICA PARTLOW
Signature Title EXECUTIVE DIRECTOR
Signature Date 3/31/2020

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