FORM 1023-EZ for COMMUNITY CPR

Field Data
EIN 82-2157091
Case Number EO-2017198-000338
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name COMMUNITY CPR
Organization’s Mailing Address PO BOX 243
City WHITEVILLE
State NC
ZIP 28472
Accounting period End 12
Primary contact name MARTHA WALLYCE TODD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARTHA WALLYCE TODD
PRESIDENT
113 W OLIVER ST
WHITEVILLE NC 28472

Officer/Director/Trustee Two

JENNIFER BOWLING
VICE PRESIDENT
3096 OLD LUMBERTON ROAD
WHITEVILLE NC 28472

Officer/Director/Trustee Three

MADELINE LONG
SECRETARY-TREASURER
PO BOX 243
WHITEVILLE NC 28472

Officer/Director/Trustee Four

JEREMY SIMMONS
BOARD MEMBER
PO BOX 243
WHITEVILLE NC 28472

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/18/2017
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 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
Signature Title
Signature Date

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