FORM 1023-EZ for CREATE ME

Field Data
EIN 81-4313119
Case Number EO-2016319-000405
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CREATE ME
Organization’s Mailing Address 2309 W CONE BOULEVARD STE 144
City GREENSBORO
State NC
ZIP 27408
Accounting period End 12
Primary contact name ERICA MOTLEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ERICA MOTLEY
CHAIRPERSON
2309 W CONE BLVD SUITE 144
GREENSBORO NC 27408

Officer/Director/Trustee Two

TASHA PERKINS
VICE-CHAIRPERSON
2309 W CONE BLVD SUITE 144
GREENSBORO NC 27408

Officer/Director/Trustee Three

MARCIA EMERSON
SECRETARY
2309 W CONE BLVD SUITE 144
GREENSBORO NC 27408

Officer/Director/Trustee Four

FRANKLIN ROBINSON
TREASURER
2309 W CONE BLVD SUITE 144
GREENSBORO NC 27408

Organization’s website
Organization’s email EMCREATIVEFITNESS@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/13/2016
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: Yes
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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