FORM 1023-EZ for THREE IN ONE FAMILY CENTER

Field Data
EIN 20-0700674
Case Number EO-2018031-000274
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THREE IN ONE FAMILY CENTER
Organization’s Mailing Address 213 SOUTH HALIFAX ROAD
City ROCKY MOUNT
State NC
ZIP 27804
Accounting period End 12
Primary contact name GREGORY QUICK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

GREGORY QUICK
OFFICER
213 SOUTH HALIFAX ROAD
ROCKY MOUNT NC 27804

Officer/Director/Trustee Two

BRENDA KENT
TRUSTEE
PO BOX 7761
ROCKY MOUNT NC 27804

Officer/Director/Trustee Three

WALTER BARBOUR
TRUSTEE
410 INDIAN TRAIL
NASHVILLE NC 27856

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/21/15
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P40 - Family Services
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 Yes
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 WALTER BARBOUR
Signature Title TRUSTEE
Signature Date 1/29/18

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