FORM 1023-EZ for PANSTAR FAMILY COMMUNITY CENTER

Field Data
EIN 80-0422292
Case Number EO-2016029-000336
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PANSTAR FAMILY COMMUNITY CENTER
Organization’s Mailing Address 10321 WINDTREE LANE
City CHARLOTTE
State NC
ZIP 28215-9019
Accounting period End 5
Primary contact name SOPHIA ESTRELLA-THOMAS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DEMARQUES ESTRELLA-THOMAS
BOARD PRESIDENT
10321 WINDTREE LANE
CHARLOTTE NC 28215-9019

Officer/Director/Trustee Two

CYNTHIA FEWELL
BOARD SECRETARY
609 FUNDERBURK ROAD
WINGATE NC 28174-6714

Officer/Director/Trustee Three

JOY MILLER
BOARD TREASURER
3962 SUGAR CREEK DRIVE APT 501
WINSTON SALEM NC 27106-3464

Organization’s website
Organization’s email STHOMAS@LEGACYTRANSITIONALSERVICES.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/5/2009
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F32 - Community Mental Health Center
Organization’s purpose Charitable: Yes
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 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 Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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