FORM 1023-EZ for LICENSED 2 HEAL PROJECT

Field Data
EIN 87-2957638
Case Number EO-2021280-000191
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LICENSED 2 HEAL PROJECT
Organization’s Mailing Address 6716 BURNING OAK LANE
City CHARLOTTE
State NC
ZIP 28216
Accounting period End 12
Primary contact name QUADASHA MCILWAINE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

QUADASHA MCILWAINE
PRESIDENT
6716 BURNING OAK LANE
CHARLOTTE NC 28216

Officer/Director/Trustee Two

CHEREKA MCILWAINE
VP AND SECRETARY
6716 BURNING OAK LANE
CHARLOTTE NC 28216

Officer/Director/Trustee Three

ASHLEY PENDER
TREAUSRER
6716 BURNING OAK LANE
CHARLOTTE NC 28216

Officer/Director/Trustee Four

OMEGA FRAZIER
DIRECTOR
10805 CHASTAIN PARC DRIVE
CHARLOTTE NC 28216

Officer/Director/Trustee Five

KADESHA BURCH
DIRECTOR
7014 SMITHS CORNER BLVD 1007
CHARLOTTE NC 28269

Organization’s website
Organization’s email LICENSED2HEALPROJECT@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/19/2021
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F80 - Mental Health Association, Multipurpose
Organization’s purpose Charitable: Yes
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name QUADASHA MCILWAINE
Signature Title PRESIDENT
Signature Date 10/5/2021

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