FORM 1023-EZ for EB PROMISE

Field Data
EIN 81-4183139
Case Number EO-2016305-000280
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name EB PROMISE
Organization’s Mailing Address 704 HOLLOWAY STREET APT 3
City DURHAM
State NC
ZIP 27701-3479
Accounting period End 6
Primary contact name LAURA DELLICKER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LAURA DELLICKER
EXECUTIVE DIRECTOR
704 HOLLOWAY ST APT 3
DURHAM NC 27701-3579

Officer/Director/Trustee Two

CAROLINE RUHL
BOARD MEMBER
80 HOPE AVE APT 203
WALTHAM MA 02453-2743

Officer/Director/Trustee Three

CAITLIN PETTERSSON
BOARD MEMBER
952 WEST 1400 NORTH
PROVO UT 84604-3129

Officer/Director/Trustee Four

AMY BLISS
BOARD MEMBER
2727 S LAVENDAR LANE
SARATOGA SPRINGS UT 84045-6646

Officer/Director/Trustee Five

AMY PARKS
BOARD MEMBER
7769 FAWN MEADOW COURT
WORTHINGTON OH 43085-5816

Organization’s website WWW.EBPROMISE.ORG
Organization’s email LAURA@EBPROMISE.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/18/2016
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P01 - Alliance/Advocacy Organizations
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 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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