FORM 1023-EZ for CHARLOTTE ELITE ACADEMY

Field Data
EIN 82-5292053
Case Number EO-2019354-000248
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CHARLOTTE ELITE ACADEMY
Organization’s Mailing Address 5518 TROSSACKS CT
City CHARLOTTE
State NC
ZIP 28212
Accounting period End 6
Primary contact name CHEA JOHNSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHEA JOHNSON
PRESIDENT
5518 TROSSACKS CT
CHARLOTTE NC 28212

Officer/Director/Trustee Two

EFFRAINGUAN MUHAMMAD
VICE PRESIDENT
4504 RAMSUER DR
WINSTON-SALEM NC 27101

Officer/Director/Trustee Three

ERIN ROZZELL
SECRETARY
841 BAXTER STREET SUITE 116
CHARLOTTE NC 28202

Officer/Director/Trustee Four

SHON HENDERSON
TREASURER
109 VILLAGE LANE J
GREENSBORO NC 27409

Officer/Director/Trustee Five

PETE JOHNSON
OFFICER
5501 BANNOCK GLEN DRIVE
CHARLOTTE NC 28212

Organization’s website
Organization’s email CLTELITEACADEMY@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/2/2018
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
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 CHEA JOHNSON
Signature Title PRESIDENT
Signature Date 12/18/2019

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