FORM 1023-EZ for COLLAB CHARLOTTE INC
| Field | Data |
|---|---|
| EIN | 82-1015723 |
| Case Number | EO-2017254-000100 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | COLLAB CHARLOTTE INC |
| Organization’s Mailing Address | 6534 HEATHERBROOK AVE |
| City | CHARLOTTE |
| State | NC |
| ZIP | 28213 |
| Accounting period End | 6 |
| Primary contact name | C MARIA MACON |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
SAMUEL L LOVE
PRESIDENT
6534 HEATHERBROOK AVE
CHARLOTTE NC 28213
Officer/Director/Trustee Two
JAMAR PERRY
TREASUER
6101 MONTEITH DRIVE
CHARLOTTE NC 28213
Officer/Director/Trustee Three
LAWRENCE WINGATE
VICE PRESIDENT
11527 NORTHWOODS FORREST
CHARLOTTE NC 28214
Officer/Director/Trustee Four
JEANEE ZIERHOFFER
SECRETARY
813 HIGHWAY 218
MONROE NC 28110
Officer/Director/Trustee Five
JEFFERY DAVIS
DIRECTOR
4719 FORRESTRIDGE COMMONS
CHARLOTTE NC 28269
| Organization’s website | |
|---|---|
| Organization’s email | SAMUELLOVE6534@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 5/2/2017 |
| Organization Incorporation State | NC |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | S31 - Urban, Community Economic Development |
| 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 | |
| Signature Title | |
| Signature Date |
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