FORM 1023-EZ for CONNECT 4 GROWTH

Field Data
EIN 82-3356932
Case Number EO-2019074-000634
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CONNECT 4 GROWTH
Organization’s Mailing Address 4700 FALLS OF NEUSE ROAD SUITE 110
City RALEIGH
State NC
ZIP 27609
Accounting period End 12
Primary contact name KELSEY ELGGREN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KELSEY ELGGREN
TREASURER
4700 FALLS OF NEUSE RD STE 110
RALEIGH NC 27609

Officer/Director/Trustee Two

ANSELL NERI
PRESIDENT
1241 S MAIN ST STE 6
WAKE FOREST NC 27587

Officer/Director/Trustee Three

NATALYA HILL
VICE PRESIDENT
5400 GLENWOOD AVE STE 220
RALEIGH NC 27612

Officer/Director/Trustee Four

TIMOTHY HAGA
SECRETARY
PO BOX 37083
RALEIGH NC 27627

Officer/Director/Trustee Five

LAUREN EGAN
MEMBERSHIP DIRECTOR
172 LAKE WENDELL RD
WENDELL NC 27591

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/9/17
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B03 - Professional Societies, Associations
Organization’s purpose Charitable: No
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 No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name KELSEY ELGGREN
Signature Title TREASURER
Signature Date 3/13/19

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