FORM 1023-EZ for SUBURBAN GUARDIANSHIP II

Field Data
EIN 81-3892783
Case Number EO-2017037-000467
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SUBURBAN GUARDIANSHIP II
Organization’s Mailing Address 1061 UNION STREET
City CONCORD
State NC
ZIP 28025
Accounting period End 12
Primary contact name DESHAUN CLARK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DESHAUN CLARK
PRESIDENT
1061 UNION ST
CONCORD NC 28025

Officer/Director/Trustee Two

VICTOR ANDERSON
DIRECTOR
1061 UNION ST
CONCORD NC 28025

Officer/Director/Trustee Three

ANGIE CALDWELL
SECRETARY
1061 UNION ST
CONCORD NC 28025

Officer/Director/Trustee Four

MELVIN LOWERY
TREASURER
1061 UNION ST
CONCORD NC 28025

Officer/Director/Trustee Five

MICHAEL CLARK
DIRECTOR
1061 UNION ST
CONCORD NC 28025

Organization’s website
Organization’s email FOSTORIA@GRANDMAZHANDS.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/11/2016
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F30 - Mental Health Treatment - Multipurpose and N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
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 Yes
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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