FORM 1023-EZ for STUDENTS WITH A GOAL INC

Field Data
EIN 81-3377353
Case Number EO-2017025-000164
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name STUDENTS WITH A GOAL INC
Organization’s Mailing Address 2277 NC HIGHWAY 45 SOUTH
City PLYMOUTH
State NC
ZIP 27962
Accounting period End 12
Primary contact name DENISE HARRIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DAVID COLE PHELPS
PRESIDENT
2046 WESTON ROAD
CRESWELL NC 27928

Officer/Director/Trustee Two

KEVIN RIDDICK
VICE-PRESIDENT
108 PINE COURT
PLYMOUTH NC 27962

Officer/Director/Trustee Three

SHERRI BLOUNT
SECRETARY
206 OLD ROPER ROAD
PLYMOUTH NC 27962

Officer/Director/Trustee Four

DENISE HARRIS
TREASURER
2277 NC HIGHWAY 45 SOUTH
PLYMOUTH NC 27962

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/31/2016
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, 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 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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