FORM 1023-EZ for LOVED BY WILSON

Field Data
EIN 82-2151488
Case Number EO-2017208-000319
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LOVED BY WILSON
Organization’s Mailing Address 115 FREHOLD COURT
City CARY
State NC
ZIP 27519
Accounting period End 12
Primary contact name WILSON MATSUO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

WILSON MATSUO
PRESIDENT CEO
115 FREHOLD COURT
CARY NC 27519

Officer/Director/Trustee Two

DAVID SOWINSKI
DIRECTOR, CHAIRPERSON
4005 DUPLIN DRIVE
GREENSBORO NC 27407

Officer/Director/Trustee Three

DEANNA AUERBACH
DIRECTOR
117 FREHOLD COURT
CARY NC 27519

Officer/Director/Trustee Four

CHRISTOPHER SAACKS
DIRECTOR
104 BARTICA COURT
CARY NC 27519

Officer/Director/Trustee Five

MINDI HECKENDORN
DIRECTOR
1719 OLD TRENTON ROAD
PRINCETON JUNCTIONS NJ 08550

Organization’s website WWW.LOVEDBYWILSON.COM
Organization’s email WILSON@LOVEDBYWILSON.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/23/2017
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P11 - Single Organization Support
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
Signature Title
Signature Date

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