FORM 1023-EZ for HELPING LIVES CONNECT GLOBALLY

Field Data
EIN 81-1279874
Case Number EO-2016201-000246
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HELPING LIVES CONNECT GLOBALLY
Organization’s Mailing Address 101 KENT STREET
City YOUNGSVILLE
State NC
ZIP 27596
Accounting period End 12
Primary contact name WENDY PETERSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

WENDY PETERSON
PRESIDENT
101 KENT STREET
YOUNGSVILLE NC 27596

Officer/Director/Trustee Two

BOBBY PETERSON
VOLUNTEER
101 KENT STREET
YOUNGSVILLE NC 27596

Officer/Director/Trustee Three

DERRICK BOYD
VOLUNTEER
2510 GREEN VALLEY ROAD
FAYETTEVILLE NC 28311

Officer/Director/Trustee Four

DONNA KIRK-BOYD
VOLUNTEER
408 SEDGEWOOD DRIVE
FAYETTEVILLE NC 28311

Officer/Director/Trustee Five

CHER SMITH
THERAPIST
3729 OLD COUNTRY LANE
RALEIGH NC 27616

Organization’s website
Organization’s email LEEWEN46@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/6/2016
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B90 - Educational Services and Schools - Other
Organization’s purpose Charitable: Yes
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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