FORM 1023-EZ for THE DOOR EMPOWERMENT STATION

Field Data
EIN 81-3221504
Case Number EO-2016272-000328
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE DOOR EMPOWERMENT STATION
Organization’s Mailing Address 1250 N RANSOM STREET
City GASTONIA
State NC
ZIP 28052
Accounting period End 12
Primary contact name REESE BARNETT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

REESE BARNETT
INCORPORATOR
1250N RANSOM STREET
GASTONIA NC 28052

Officer/Director/Trustee Two

JENNIFER JIMINSON
TREASURER
1250N RANSOM STREET
GASTONIA NC 28052

Officer/Director/Trustee Three

NATASHA PEMBERTON-TODD
SECRETARY
1250N RANSOM STREET
GASTONIA NC 28052

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/12/2016
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
Organization’s purpose Charitable: Yes
Religious: Yes
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 Yes
One Third Support Gifts No
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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