FORM 1023-EZ for UNIQUELY DIFFERENT

Field Data
EIN 82-2674742
Case Number EO-2017313-000140
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name UNIQUELY DIFFERENT
Organization’s Mailing Address 4491 PINE HALL RD
City WINSTON-SALEM
State NC
ZIP 27051-9832
Accounting period End 12
Primary contact name RASHIDAH RAZZAK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RASHIDAH RAZZAK
EXECUTIVE DIRECTOR
4491 PINE HALL RD
WINSTON-SALEM NC 27051-9832

Officer/Director/Trustee Two

CHARITY BAXTER
BOARD OF DIRECTOR
5025 N TRYON ST
CHARLOTTE NC 28213-8157

Officer/Director/Trustee Three

KEISHA SPRINGS
BOARD OF DIRECTOR
549 ABROR HILL RD APT 53-C
KERNERSVILLE NC 27284-9798

Officer/Director/Trustee Four

DEENA LIVINGSTON
BOARD OF DIRECTOR
3122 PINE CONE TRAIL
GREENSBORO NC 27406-9846

Officer/Director/Trustee Five

JULIUS PEARSON
BOARD OF DIRECTOR
100 STEWART ST
WINSTON-SALEM NC 27107-9888

Organization’s website N/A
Organization’s email RASRAZZAK2015@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/23/2017
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P99 - Human Services - Multipurpose and Other N.E.C.
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
Signature Title
Signature Date

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