FORM 1023-EZ for A HIDDEN GEM

Field Data
EIN 47-1997319
Case Number EO-2014340-000139
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name A HIDDEN GEM
Organization’s Mailing Address 4601 COTTENDALE DR
City DURHAM
State NC
ZIP 27703
Accounting period End 12
Primary contact name IRENE WATKINS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

IRENE WATKINS
CHAIRMAN/CEO
4601 COTTENDALE DR
DURHAM NC 27703-4265

Officer/Director/Trustee Two

TESHIA PITMAN
TREASUER
215 WILLIAM PENN PLAZA APT 1028
DURHAM NC 27704

Officer/Director/Trustee Three

LAKEISHA HOWIE
CO-CHAIRMAN
2110 HEMLOCK HILL DR
DURHAM NC 27703-4265

Officer/Director/Trustee Four

SAMUEL BRYANT
SECRETARY
405 W HOOKS RIVER RD APT F
GOLDSBORO NC 27530

Officer/Director/Trustee Five

KAKIA BOYD-ALLEN
VICE CHAIRMAN
2533 HEMBY WOODS DR
CHARLOTTE NC 28262

Organization’s website
Organization’s email AHIDDENGEM2@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/6/2014
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P43 - Family Violence Shelters, Services
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
Signature Title
Signature Date

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