FORM 1023-EZ for CENTRAL CAROLINA REENTRY SERVICE FOUNDATION

Field Data
EIN 81-2925186
Case Number EO-2016208-000081
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CENTRAL CAROLINA REENTRY SERVICE FOUNDATION
Organization’s Mailing Address 906 FRANKLIN STREET
City ROANOKE RAPIDS
State NC
ZIP 27870-2542
Accounting period End 12
Primary contact name MICHAEL MCBRIDE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHARLES CARR
CHIEF OPERATIONS OFFICER
1113 SOUTH GRACE STREET
ROCKY MOUNT NC 27803

Officer/Director/Trustee Two

MICHAEL MCBRIDE
CHIEF FINANCIAL OFFICER
906 FRANKLIN STREET
ROANOKE RAPIDS NC 27870-2542

Officer/Director/Trustee Three

ED LANIER
BOD CHAIRPERSON
812 LOGAN TRAIL
ROCKY MOUNT NC 27803

Officer/Director/Trustee Four

LEARITA HANKERSON
DIRECTOR
1240 HAMMOND STREET
ROCKY MOUNT NC 27803

Officer/Director/Trustee Five

ANN LANIER
DIRECTOR
812 LOGAN TRAIL
ROCKY MOUNT NC 27803

Organization’s website WWW.CENTRALCAROLINAREENTRY.ORG
Organization’s email MICHAELMCBRIDE@CENTRALCAROLINAREENTRY.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/15/2016
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code L41 - Homeless, Temporary Shelter For
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 Yes
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 Yes
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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