FORM 1023-EZ for UNITY IN THE COMMUNITY

Field Data
EIN 61-1765021
Case Number EO-2015194-000289
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name UNITY IN THE COMMUNITY
Organization’s Mailing Address 5620 PEA RIDGE ROAD
City RUTHERFORDTON
State NC
ZIP 28139-9161
Accounting period End 12
Primary contact name DAVID STALEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DAVID STALEY
CHAIRMAN AND DIRECTOR
131 BELLVUE STREET
FOREST CITY NC 28043-2813

Officer/Director/Trustee Two

TERRY HINES
VICE CHAIRMAN AND DIRECTOR
86 ARTHURS DRIVE
RUTHERFORDTON NC 28139-9183

Officer/Director/Trustee Three

TERRI PALMER
SECRETARY AND DIRECTOR
PO BOX 495
RUTHERFORDTON NC 28139-0495

Officer/Director/Trustee Four

TAMIKO KELLY
CO-TREASURER AND DIRECTOR
124 WASHINGTON HEIGHTS
FOREST CITY NC 28043-3455

Officer/Director/Trustee Five

SHARON ROGERS
CO-TREASURER AND DIRECTOR
5501 PEA RIDGE ROAD
RUTHERFORTON NC 28139-9160

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/20/2015
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S32 - Rural Development
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 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
Signature Title
Signature Date

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