FORM 1023-EZ for ST MARK FAMILY LIFE CENTER OF GOLDSBORO NC INC

Field Data
EIN 46-5602014
Case Number EO-2014328-000242
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ST MARK FAMILY LIFE CENTER OF GOLDSBORO NC INC
Organization’s Mailing Address 700 WEST ASH STREET
City GOLDSBORO
State NC
ZIP 27530
Accounting period End 11
Primary contact name JUNIUS SHEALY JR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

BISHOP ALTON A SMITH
PRESIDENT / DIRECTOR
105 AARONS PLACE
GOLDSBORO NC 27530

Officer/Director/Trustee Two

JUNIUS N SHEALY JR
TREASURER / DIRECTOR
610 ISLER STREET
GOLDSBORO NC 27530

Officer/Director/Trustee Three

JOSEPH VALINES
DIRECTOR
101 THOMICK PLACE
GOLDSBORO NC 27530

Officer/Director/Trustee Four

HATTIE FREDERICK
DIRECTOR
29 WEST MOSS CREEK DRIVE
CLAYTON NC 27520

Officer/Director/Trustee Five

DR ALMA JENKINS
DIRECTOR
104 VERANDA PLACE
GOLDSBORO NC 27530

Organization’s website
Organization’s email FAMILYLIFECENTER@STMARKCHURCH.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/24/2013
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P40 - Family Services
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 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
Signature Title
Signature Date

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