FORM 1023-EZ for I AM RESILIENT

Field Data
EIN 83-1867040
Case Number EO-2019259-000329
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name I AM RESILIENT
Organization’s Mailing Address 22415 MARKET STREET 1216
City CORNELIUS
State NC
ZIP 28301-3001
Accounting period End 9
Primary contact name SHANNON SANDERS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JUSTIN IRBY
CHIEF OPERATING OFFICER
5523 CHASEWIND DR
CHARLOTTE NC 28269-972

Officer/Director/Trustee Two

SHARKEITH BAKER
CHIEF FINANCIAL OFFICER
8109 PIKE ROAD
CHARLOTTE NC 28262-3861

Officer/Director/Trustee Three

GARY MCCLUNEY
CHIEF ADMINISTRATIVE OFFICER
5134 ELEMENTARY VIEW DRIVE
CHARLOTTE NC 28269-5307

Officer/Director/Trustee Four

SHANNON SANDERS
PRESIDENT
22415 MARKET STREET 1216
CORNELIUS NC 28301-3001

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/3/19
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B01 - Alliance/Advocacy Organizations
Organization’s purpose Charitable: No
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 Yes
Donation of funds Yes
Conducting Activities Outside of United States No
Financial transactions with officers Yes
Unrelated Gross Income $1,000 or More No
Gaming Activity Yes
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 SHANNON SANDERS
Signature Title PRESIDENT
Signature Date 9/10/19

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