FORM 1023-EZ for ASSURANCE OUTREACH OF NORTH CAROLINA

Field Data
EIN 85-2488639
Case Number EO-2020237-000719
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ASSURANCE OUTREACH OF NORTH CAROLINA
Organization’s Mailing Address 210 STEVEN TAYLOR ROAD
City WAKE FOREST
State NC
ZIP 27587
Accounting period End 9
Primary contact name JOSEPH IVEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOSEPH IVEY
EXECUTIVE DIRECTOR
210
WAKE FOREST NC 27587

Officer/Director/Trustee Two

MORELLA IVEY
BOARD MEMBER
210 STEVEN TAYLOR ROAD
WAKE FOREST MT 27587

Officer/Director/Trustee Three

SHARMILLA HOLEMAN
BOARD MEMBER
18 BALMORAY CT APT 1
DURHAM NC 27707

Officer/Director/Trustee Four

STEPHANIE BELLAMY
BOARD MEMBER
306 NORTH MAPLE STREET
DURHAM NC 27703

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/30/2020
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P99 - Human Services - Multipurpose and Other N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
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 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 JOSEPH IVEY
Signature Title EXECUTIVE DIRECTOR
Signature Date 8/22/2020

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