| Field | Data |
|---|---|
| EIN | 86-3039302 |
| Case Number | EO-2021104-000347 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | NORTH CAROLINA COMMUNITY HEALTH WORKERS ASSOCIATION |
| Organization’s Mailing Address | 2947 CHRISTY LEIGH DR |
| City | NEWTON |
| State | NC |
| ZIP | 28658 |
| Accounting period End | 12 |
| Primary contact name | HONEY ESTRADA |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
FIORELLA HORNA
DIRECTOR
47 SADE ROCK CT
FUQUAY VARINA NC 27526
ROCIO ANDERSON
DIRECTOR
270 MILTON BLUFF LN
HOLLY SPRINGS NC 27540
BRANDON TEAL
DIRECTOR
6550 GUARD HILL DR
RALEIGH NC 27610
DEBBIE ROYSTER
DIRECTOR
103 OVERBY DR
DURHAM NC 27713
MILTON BUTTERWORTH
DIRECTOR
1104 PATTON ST
HENDERSONVILLE NC 28792
| Organization’s website | |
|---|---|
| Organization’s email | HYESTRADA22@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 3/5/2021 |
| Organization Incorporation State | NC |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | E03 - Professional Societies, Associations |
| 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 | 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 | FIORELLA HORNA |
| Signature Title | DIRECTOR |
| Signature Date | 4/8/2021 |
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