FORM 1023-EZ for PINE FOREST FAMILY WORSHIP CENTER INC

Field Data
EIN 85-0741029
Case Number EO-2020111-000426
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PINE FOREST FAMILY WORSHIP CENTER INC
Organization’s Mailing Address 119 N VIRGINIA AVE
City FAYETTEVILLE
State NC
ZIP 28305
Accounting period End 12
Primary contact name GINA MURRAY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

GINA MURRAY
MEMBER, BOARD OF DIRECTORS
740 SE GREENVILLE BLVD SUITE 400
GREENVILLE NC 27858

Officer/Director/Trustee Two

KAREEMA CAVALLO
MEMBER, BOARD OF DIRECTORS
119 N VIRGINIA AVE
FAYETTEVILLE NC 28305

Officer/Director/Trustee Three

JINAKI BURROUGHS
MEMBER, BOARD OF DIRECTORS
315 LOFTON DRIVE
FAYETTEVILLE NC 28311

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/4/2020
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X20 - Christian
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 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 GINA MURRAY
Signature Title MEMBER, BOARD OF DIRECTORS
Signature Date 4/17/2020

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