FORM 1023-EZ for SOCIALWORK STAFFING

Field Data
EIN 59-3843367
Case Number EO-2015054-000146
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SOCIALWORK STAFFING
Organization’s Mailing Address 365 MAPLE CREEK ROAD
City RUTHEFORDTON
State NC
ZIP 28139
Accounting period End 12
Primary contact name ORLANDO TATE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

TIFFANY HORNE
PRESIDENT
365 MAPLE CREEK ROAD
RUTHERFORDTON NC 28139

Officer/Director/Trustee Two

ALICE BLACKMON
TREASURER
365 MAPLE CREEK ROAD
RUTHERFORDTON NC 28139

Officer/Director/Trustee Three

TOMOR DANZY
CHAIRPERSON
8726 AVEBURY DRIVE APARTMENT C
CHARLOTTE NC 28213

Officer/Director/Trustee Four

JAMES BLACKMON
OFFICER
365 MAPLE CREEK ROAD
RUTHERFORDTON NC 28139

Officer/Director/Trustee Five

PIERRE HORNE
OFFICER
365 MAPLE CREEK ROAD
RUTHEFORDTON NC 28139

Organization’s website N/A
Organization’s email TIFFANYHORNE65@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/8/2010
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code J20 - Employment Procurement Assistance, Job Training
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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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