FORM 1023-EZ for WINSTON-SALEM TEACHER RESIDENCY INCORPORATED

Field Data
EIN 83-2058023
Case Number EO-2018274-000418
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name WINSTON-SALEM TEACHER RESIDENCY INCORPORATED
Organization’s Mailing Address 851 WEST 5TH STREET
City WINSTON SALEM
State NC
ZIP 27101
Accounting period End 12
Primary contact name NED ERICKSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NED ERICKSON
CHAIRMAN
381 DOVER DRIVE
WINSTON-SALEM NC 27104

Officer/Director/Trustee Two

MATTHEW DIXSON
VICE-CHAIRMAN/TREASURER
475 CORPORATE SQUARE
WINSTON-SALEM NC 27105

Officer/Director/Trustee Three

ALAN BROWN
SECRETARY
3120 ORMOND DRIVE
WINSTON-SALEM NC 27106

Organization’s website
Organization’s email WINSTONSALEMTEACHERRESIDENCY@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/28/18
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: No
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 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 NED ERICKSON
Signature Title CHAIRMAN
Signature Date 9/28/18

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