FORM 1023-EZ for POWER PACKED LEADERSHIP ORGANIZATION INC

Field Data
EIN 84-4164483
Case Number EO-2020111-000231
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name POWER PACKED LEADERSHIP ORGANIZATION INC
Organization’s Mailing Address 217 BLUE NEWKIRK RD
City MAGNOLIA
State NC
ZIP 28453
Accounting period End 12
Primary contact name ANTRON HAYES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANTRON HAYES
MEMBER, BOARD OF DIRECTORS
217 BLUE NEWKIRK RD
MAGNOLIA NC 28453

Officer/Director/Trustee Two

PAMELA FENNELL
MEMBER, BOARD OF DIRECTORS
7742 SOUTH NC HWY 41
WALLACE NC 28466

Officer/Director/Trustee Three

DARLENE LEYSATH
MEMBER, BOARD OF DIRECTORS
PO BOX 1576
WALLACE NC 28466

Organization’s website
Organization’s email TAYRON687@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/7/2019
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O01 - Alliance/Advocacy Organizations
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 ANTRON HAYES
Signature Title MEMBER, BOARD OF DIRECTORS
Signature Date 4/16/2020

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