FORM 1023-EZ for COLLABORATIVE DIVORCE FOUNDATION OFNORTH CAROLINA INC

Field Data
EIN 82-2254785
Case Number EO-2017216-000161
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name COLLABORATIVE DIVORCE FOUNDATION OFNORTH CAROLINA INC
Organization’s Mailing Address 4601 LAKE BOONE TRAIL SUITE 3B
City RALEIGH
State NC
ZIP 27607
Accounting period End 12
Primary contact name MARK SPRINGFIELD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARK SPRINGFIELD
DIRECTOR
1405 BROOKS AVE
RALEIGH NC 27607

Officer/Director/Trustee Two

KERRY BURLEIGH
DIRECTOR
175 CRIMSON OAK DRIVE
DURHAM NC 27713

Officer/Director/Trustee Three

RANDOLPH MORGAN
DIRECTOR
4601 LAKE BOONE TRAIL
RALEIGH NC 27607

Officer/Director/Trustee Four

ASHLEY MICHAEL
DIRECTOR
701 MARKET STREET
WILMINGTON NC 28401

Officer/Director/Trustee Five

PATTI HOLT
DIRECTOR
1213 CULBRETH DRIVE
WILMINGTON NC 28405

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/29/2017
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W99 - Public, Society Benefit - Multipurpose and Other N.E.C.
Organization’s purpose Charitable: No
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 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 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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