FORM 1023-EZ for LEAVETHE99 INC

Field Data
EIN 47-2620122
Case Number EO-2015040-000282
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LEAVETHE99 INC
Organization’s Mailing Address 11813 OLD TIMBER RD
City CHARLOTTE
State NC
ZIP 28269-8742
Accounting period End 12
Primary contact name JASON WALLACE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JASON WALLACE
PRESIDENT
11813 OLD TIMBER RD
CHARLOTTE NC 28269-8742

Officer/Director/Trustee Two

DAVE BURKHOLDER
VICE PRESIDENT
12520 OAKWOOD DR
WOODBRIDGE VA 22192-3105

Officer/Director/Trustee Three

KORNEL GYALOKAY
TREASURER
6117 GREELEY BLVD
SPRINGFIELD VA 22152-1831

Officer/Director/Trustee Four

KELLY WALLACE
SECRETARY
11813 OLD TIMBER RD
CHARLOTTE NC 28269-8742

Organization’s website WWW.LEAVETHE99.ORG
Organization’s email JASON@LEAVETHE99.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/16/2014
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X20 - Christian
Organization’s purpose Charitable: Yes
Religious: Yes
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 Yes
Donation of funds Yes
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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