FORM 1023-EZ for FILLING IN THE GAPS

Field Data
EIN 84-3950185
Case Number EO-2019357-000521
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FILLING IN THE GAPS
Organization’s Mailing Address 3213 FLOWERY BRANCH RD
City RALEIGH
State NC
ZIP 27610
Accounting period End 12
Primary contact name NICHOLLE BROWN JACKSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NICHOLLE BROWN JACKSON
BOARD
3213 FLOWERY BRANCH RD
RALEIGH NC 27610

Officer/Director/Trustee Two

MAUREEN SMITH
BOARD
2913 MARION RD
RALEIGH NC 27610

Officer/Director/Trustee Three

MICHELLE GARDNER
BOARD
1028 AARON DRIVE
RALEIGH NC 27610

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/16/2019
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P24 - Salvation Army
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name NICHOLLE BROWN JACKSON
Signature Title BOARD
Signature Date 12/20/2019

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