FORM 1023-EZ for UNIQUE BLESSINGS NON PROFIT ORGINAZATION

Field Data
EIN 85-0623296
Case Number EO-2020099-000161
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name UNIQUE BLESSINGS NON PROFIT ORGINAZATION
Organization’s Mailing Address 6839 WAGON OAK ROAD
City Charlotte
State NC
ZIP 28212
Accounting period End 4
Primary contact name SHANTELLE EVANS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHANTELLE EVANS
PRESIDENT
6839 WAGON OAK ROAD
CHARLOTTE NC 28212

Officer/Director/Trustee Two

ROGER DUNCAN
SECRATARY
10934 CAVER POND ROAD
CHARLOTTE NC 28269

Officer/Director/Trustee Three

ALONZIA BRISCOE
MEMBER
6839 WAGON OAK ROAD9
CHARLOTTE NC 28212

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/6/2020
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code I70 - Protection Against, Prevention of Neglect, Abuse, Exploitation
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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 SHANTELLE EVANS
Signature Title PRESIDENT
Signature Date 4/7/2020

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