FORM 1023-EZ for THE CENTER FOR CLERGY AND CHURCH SUPPORT INC

Field Data
EIN 45-3457156
Case Number EO-2016092-000370
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE CENTER FOR CLERGY AND CHURCH SUPPORT INC
Organization’s Mailing Address 366 GEORGE W LILES PKWY NW STE 174
City CONCORD
State NC
ZIP 28027
Accounting period End 12
Primary contact name ROBERT N ANDREWS II
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ROBERT ANDREWS II
PRESIDENT
505 CLEARWATER DRIVE NW
CONCORD NC 28027

Officer/Director/Trustee Two

TIFFANY ANDREWS
VICE PRESIDENT
505 CLEARWATER DRIVER NW
CONCORD NC 28027

Officer/Director/Trustee Three

DENNIS PARKER
BOARD MEMBER
3908 BILTMORE COURT WEST
WILSON NC 27893

Officer/Director/Trustee Four

RANDY WILLIAMS
BOARD MEMBER
3400 N WESLEYAN BLVD
ROCKY MOUNT NC 27804

Officer/Director/Trustee Five

TORASE BARNES
BOARD MEMBER
P O BOX 938
ELM CITY NC 27822

Organization’s website
Organization’s email RANDREWS@CLERGYCENTER.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/11/2010
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S02 - Management & Technical Assistance
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 Yes
Signature Name
Signature Title
Signature Date

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