FORM 1023-EZ for URBAN COMMUNITY ARGINOMICS - UCAN

Field Data
EIN 81-0691944
Case Number EO-2016153-000326
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name URBAN COMMUNITY ARGINOMICS - UCAN
Organization’s Mailing Address 505 CRESTVIEW DRIVE
City DURHAM
State NC
ZIP 27712
Accounting period End 12
Primary contact name DELPHINE SELLARS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DELPHINE SELLARS
CHAIR
505 CRESTVIEW DRIVE
DURHAM NC 27712

Officer/Director/Trustee Two

DEREK HAYES
VICE-CHAIR
1315 HERITAGE MANOR DRIVE
RALEIGH NC 27610

Officer/Director/Trustee Three

LUCILLE PATTERSON
TREASURER
733 CRESTVIEW DRIVE
DURHAM NC 27712

Officer/Director/Trustee Four

OTTO PHILLIPS
BOARD MEMBER
2633 DALITY DRIVE
RALEIGH NC 27604

Officer/Director/Trustee Five

EBONY WATTS
BOARD MEMBER
4801- 503 DANUBE LANE
DURHAM NC 27704

Organization’s website
Organization’s email GODLEY1210@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/29/2016
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code K99 - Food, Agriculture, and Nutrition N.E.C.
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 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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