FORM 1023-EZ for A FRIEND A VILLAGE

Field Data
EIN 47-4726405
Case Number EO-2017188-000302
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name A FRIEND A VILLAGE
Organization’s Mailing Address 6345 MALLARD VIEW LANE
City CHARLOTTE
State NC
ZIP 28269-5120
Accounting period End 12
Primary contact name ELIZAPHAN OMERHI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ELIZAPHAN OMERHI
PRESIDENT / BOARD CHAIR
6345 MALLARD VIEW LANE
CHARLOTTE NC 28269-5120

Officer/Director/Trustee Two

NADINE STEWART-BROWN
VICE PRESIDENT
739 FOUNTAIN LAKE ROAD
COLUMBIA SC 29209-5712

Officer/Director/Trustee Three

NIKE ODILI
SECRETARY AND TREASURER
8324 RUNAWAY BAY DRIVE APT C
CHARLOTTE NC 28212

Organization’s website WWW.AFRIENDAVILLAGE.ORG
Organization’s email INFO@AFRIENDAVILLAGE.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/30/2017
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
Scientific: Yes
Literary: Yes
Public Safety: Yes
Amateur Sports: Yes
Cruelty Prevention: Yes
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee Yes
Donation of funds Yes
Conducting Activities Outside of United States Yes
Financial transactions with officers Yes
Unrelated Gross Income $1,000 or More Yes
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
Signature Title
Signature Date

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