FORM 1023-EZ for CULTIVATING CHANGE II INC

Field Data
EIN 27-1174263
Case Number EO-2016123-000210
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CULTIVATING CHANGE II INC
Organization’s Mailing Address 1502 W NASH STREET SUITE B
City WILSON
State NC
ZIP 27893
Accounting period End 1
Primary contact name DUWANDA S EPPS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DUWANDA EPPS
EXECUTIVE DIRECTOR
1858 EAST TRAIL DRIVE SE
WILSON NC 27893

Officer/Director/Trustee Two

SYNCEIRIE ROSA
TREASURER
304 SOUTH DAVIS
KINSTON NC 25801

Officer/Director/Trustee Three

GILBERT EPPS
SECRETARY
1858 EAST TRAIL DRIVE SE
WILSON NC 27893

Officer/Director/Trustee Four

GINA WILLIAMS
ASSISTANT DIRECTOR
103 SPRING FOREST ROAD D8
GREENVILLE NC 27834

Organization’s website
Organization’s email CCHANGE2INC@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/22/2010
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: Yes
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 Yes
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 Yes
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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