FORM 1023-EZ for RALEIGH MOM PROM

Field Data
EIN 81-3276209
Case Number EO-2016208-000343
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name RALEIGH MOM PROM
Organization’s Mailing Address 11600 PACESFERRY DR
City RALEIGH
State NC
ZIP 27614
Accounting period End 12
Primary contact name HOLLY HODGES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

HOLLY HODGES
OFFICER
11600 PACESFERRY DR
RALEIGH NC 27614

Officer/Director/Trustee Two

STEPHANIE ARMSTRON
OFFICER
7536 HASENTREE CLUB DR
WAKE FOREST NC 27587

Officer/Director/Trustee Three

REBEKAH ANDERSON
OFFICER
10840 CAHILL RD
RALEIGH NC 27614

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/19/2016
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Y12 - Fund Raising and/or Fund Distribution
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
Signature Title
Signature Date

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