FORM 1023-EZ for NAMI CUMBERLAND HARNET AND LEE COUNTIES

Field Data
EIN 56-1959613
Case Number EO-2017278-000318
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name NAMI CUMBERLAND HARNET AND LEE COUNTIES
Organization’s Mailing Address PO BOX 87502
City FAYETTEVILLE
State NC
ZIP 28304
Accounting period End 12
Primary contact name HANNAH CARROLL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

HANNAH CARROLL
PRESIDENT-CHAIRPERSON OF BOARD
3220 GILLESPIE ST
FAYETTEVILLE NC 28306

Officer/Director/Trustee Two

SYLVIA DICKENS
SECRETARY
50 MEADOW ST
SPRING LAKE NC 28390

Officer/Director/Trustee Three

MARILYN GILLIAM
SECRETARY
226 SIMMONS
SANDORD NC 27330

Officer/Director/Trustee Four

DOROTHY JOHNSON
BOARD OF DIRECTOR
1703 GRANDVIEW
FAYETTEVILLE NC 28314

Officer/Director/Trustee Five

CINDY TANNER
PROGRAM DIRECTOR
686 DEWITT WILLIAMS RD
AUTRYVILLE NC 28318

Organization’s website WWW.NAMICHL.ORG
Organization’s email NAMICUMBERLAND@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/19/1999
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F01 - Alliance/Advocacy Organizations
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 Yes
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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