FORM 1023-EZ for FUZZY FRIENDS OUTREACH INC

Field Data
EIN 87-2056826
Case Number EO-2021242-000561
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FUZZY FRIENDS OUTREACH INC
Organization’s Mailing Address 1549 PLEASANT STREET
City WINSTON-SALEM
State NC
ZIP 27107
Accounting period End 12
Primary contact name KANIKA BROWN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KANIKA BROWN
PRESIDENT-CEO
1549 PLEASANT STREET
WINSTON-SALEM NC 27107

Officer/Director/Trustee Two

JOHN L LOCKWOOD
EXECUTIVE DIERCTOR
917 LOCKLAND AVE
WINSTON-SALEM NC 27103

Officer/Director/Trustee Three

DR MARCUS BARR
CHAIRMAN OF THE BOARD
3723 PROSPECT DR
WINSTON SALEM NC 27105

Officer/Director/Trustee Four

KAMM GALLOWAY
SECRETARY
P O BOX 12345
WINSTON-SALEM NC 27117

Officer/Director/Trustee Five

MARY RICE
TREASURER
1001 SOUTH MARSHALL ST BOX 75
WINSTON-SALEM NC 27101

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/12/2021
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A20 - Arts, Cultural Organizations - Multipurpose
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 No
Signature Name KANIKA BROWN
Signature Title PRESIDENT-CEO
Signature Date 8/27/2021

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