FORM 1023-EZ for THE ROXANNE POULOS FOUNDATION
| Field | Data |
|---|---|
| EIN | 46-5005393 |
| Case Number | EO-2014307-000167 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | THE ROXANNE POULOS FOUNDATION |
| Organization’s Mailing Address | PO BOX 148 |
| City | HOPE MILLS |
| State | NC |
| ZIP | 28348 |
| Accounting period End | 12 |
| Primary contact name | JOSEPH WATERS |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $400.00 |
Officer/Director/Trustee One
HEATHER JADWICK
CHAIRMAN
735 BURGOYNE DR
FAYETTEVILLE NC 28314
Officer/Director/Trustee Two
KELSEY WOITAS
SECRETARY/COORDINATOR
6230 CARVERS OAK DR APT 325
FAYETTEVILLE NC 28311
Officer/Director/Trustee Three
KAITLYN WATERS
MEMBER
909 BRAMBLEGATE RD
HOPE MILLS NC 28348
Officer/Director/Trustee Four
TERI BEARD
TREASURER
75 OLD NC 20 RD
ST PAULS NC 28384
Officer/Director/Trustee Five
JOSEPH WATERS
FOUNDER
909 BRAMBLEGATE RD
HOPE MILLS NC 28348
| Organization’s website | WWW.THEROXANNEPOULOSFOUNDATION.ORG |
|---|---|
| Organization’s email | JOE.WATERS63@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 3/15/2013 |
| Organization Incorporation State | NC |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | H19 - Nonmonetary Support N.E.C. |
| Organization’s purpose | Charitable: Yes Religious: No Educational: No 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 | Yes |
| One Third Support Gifts | No |
| 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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