| Field | Data |
|---|---|
| EIN | 87-1492111 |
| Case Number | EO-2021197-000269 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | MT AIRY MENS SHELTER |
| Organization’s Mailing Address | PO BOX 82 |
| City | WESTFIELD |
| State | NC |
| ZIP | 27053 |
| Accounting period End | 7 |
| Primary contact name | ANN MARKHAM-SIMMONS |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
ANN MARKHAM-SIMMONS
CHAIRWOMAN OF THE BOARD
2517 HORSESHOE RD
WESTFIELD NC 27053
KEVIN MARKHAM
BOARD MEMBER
184 WESTVIEW DRIVE
MT. AIRY NC 27030
ALLISON MARKHAM
TREASURER
184 WESTVIEW DR
MT. AIRY NC 27030
RICHARD EPPERSON
BOARD MEMBER
677 HOMEPLACE RD
ARARAT VA 24053
DAVID UTT
BOARD MEMBER
2705 MEADOWBROOK RD
CANA VA 24317
| Organization’s website | |
|---|---|
| Organization’s email | MENS2021SHELTER@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 7/2/2021 |
| Organization Incorporation State | NC |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | P85 - Homeless Persons Centers, 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 | ANN MARKHAM-SIMMONS |
| Signature Title | CHAIRWOMAN OF THE BOARD |
| Signature Date | 7/14/2021 |
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