FORM 1023-EZ for WAKE COMMUNITY SUPPORT SERVICES

Field Data
EIN 84-2755057
Case Number EO-2020113-000039
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name WAKE COMMUNITY SUPPORT SERVICES
Organization’s Mailing Address 3622 JORDANMILL COURT
City RALEIGH
State NC
ZIP 27616
Accounting period End 12
Primary contact name TARA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TARA LEWIS
DIRECTOR
3622 JORDANMILL COURT
RALEIGH NC 27616

Officer/Director/Trustee Two

VIRGINIA DINGLE
DIRECTOR
7216 BENTLEY CIRCLE
RALEIGH NC 27616

Officer/Director/Trustee Three

CAROLYN STOKES
DIRECTOR
4205 WILLOW LAKE ROAD
RALEIGH NC 27616

Officer/Director/Trustee Four

DEBORAH HARRIS
OFFICER/EDUCATION
504 ACADIA COURT
GARNER NC 27529

Officer/Director/Trustee Five

DORA BULLOCK
OFFICER/PROFESSIONAL COUNSLING
102 MARGARET DRIVE
CREEDMOOR NC 27522

Organization’s website
Organization’s email WAKECOMMUNITYSUPPORT@EARTHLINK.NET
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/7/2019
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: Yes
Educational: Yes
Scientific: No
Literary: Yes
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 Yes
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 TARA LEWIS
Signature Title DIRECTOR
Signature Date 4/19/2020

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