FORM 1023-EZ for TIME4CHANGE OF NC

Field Data
EIN 45-5149587
Case Number EO-2017019-000317
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name TIME4CHANGE OF NC
Organization’s Mailing Address 7283 NC HWY 42 STE 102-255
City RALEIGH
State NC
ZIP 27603
Accounting period End 6
Primary contact name LORESHA PHILLIPS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LORESHA PHILLIPS
EXECUTIVE DIRECTOR
1033 PANTHER HILL LANE
RALEIGH NC 27603

Officer/Director/Trustee Two

ROBERT PHILLIPS IV
PROGRAM COORDINATOR
1033 PANTHER HILL LANE
RALEIGH NC 27603

Officer/Director/Trustee Three

JIM CRAWFORD SR
BOARD VICE CHAIR/TREASURER
9809 KARCIA CT
RALEIGH NC 27617

Officer/Director/Trustee Four

NAOMI RICHARDSON
BOARD CHAIR
8306 PRIMATI BLVD
RALEIGH NC 27612

Organization’s website WWW.TIME4CHANGENC.ORG
Organization’s email INFO@TIME4CHANGENC.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/26/2012
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code I73 - Sexual Abuse, Prevention of
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 Yes
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 Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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