FORM 1023-EZ for TEMPLE VITALITY FOUNDATION
| Field | Data |
|---|---|
| EIN | 47-3046336 |
| Case Number | EO-2016313-000101 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | TEMPLE VITALITY FOUNDATION |
| Organization’s Mailing Address | 2120 BRENTWOOD ROAD APT 208 |
| City | RALEIGH |
| State | NC |
| ZIP | 27604 |
| Accounting period End | 12 |
| Primary contact name | TRINETTA BURRELL |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
VIVIAN WEAVER
CHIEF EXECUTIVE OFFICER
2120 BRENTWOOD RD APT 208
RALEIGH NC 27604
Officer/Director/Trustee Two
TIFFANY HATTON
CHIEF FINANCIAL OFFICER
203 CHATSWORTH LANE
CLAYTON NC 27527
Officer/Director/Trustee Three
TRINETTA BURRELL
BOARD CHAIR
1201 MARTIN POND RD
WENDELL NC 27591
Officer/Director/Trustee Four
SANTISHA WALKER
DIRECTOR OF MARKETING
176 FINSBURY STREET
DURHAM NC 27703
Officer/Director/Trustee Five
BRANDON TEMPLE
DIRECTOR OF COMMUNICATIONS
2803 OLD WILLIAMS ROAD
RALEIGH NC 27610
| Organization’s website | |
|---|---|
| Organization’s email | TEMPLEVITALITY@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 1/9/2015 |
| Organization Incorporation State | NC |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | F80 - Mental Health Association, Multipurpose |
| 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 | 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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