FORM 1023-EZ for AGAPE FAITH COUNSELING CENTER

Field Data
EIN 83-2565652
Case Number EO-2018344-000213
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name AGAPE FAITH COUNSELING CENTER
Organization’s Mailing Address 2101 LEWISVILLE CLEMMONS ROAD
City CLEMMONS
State NC
ZIP 27012-8836
Accounting period End 12
Primary contact name JEFF SHEPHERD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JULIAN GAITHER
PRESIDENT
3160 MANCHESTER AVE
WINSTON SALEM NC 27103

Officer/Director/Trustee Two

DAYA PATTON
VICE PRESIDENT
3553 MEADOW GLEN DR
CLEMMONS NC 27012-9393

Officer/Director/Trustee Three

MARTHA CARTER
SECRETARY/TREASURER
4912 TIFFANY AVE
WINSTON SALEM NC 27104

Officer/Director/Trustee Four

EARL CARTER
DIRECTOR
4912 TIFFANY AVE
WINSTON SALEM NC 27104

Officer/Director/Trustee Five

MONICA MCLAUGHLIN
DIRECTOR
4150 MAE LEN DR
WINSTON SALEM NC 27107

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/5/18
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F32 - Community Mental Health Center
Organization’s purpose Charitable: Yes
Religious: Yes
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 JULIAN GAITHER
Signature Title PRESIDENT
Signature Date 12/6/18

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