FORM 1023-EZ for CREEKSIDE PAY IT FORWARD
| Field | Data |
|---|---|
| EIN | 82-1978921 |
| Case Number | EO-2017258-000031 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | CREEKSIDE PAY IT FORWARD |
| Organization’s Mailing Address | 1027 BRANWELL DR |
| City | DURHAM |
| State | NC |
| ZIP | 27703 |
| Accounting period End | 12 |
| Primary contact name | KEVIN WALLS |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
KEVIN WALLS
TREASURER
1027 BRANWELL DR
DURHAM NC 27703-9894
Officer/Director/Trustee Two
VICKY CLAY
PRESIDENT
1005 BRANWELL DR
DURHAM NC 27703-9894
Officer/Director/Trustee Three
JIM SERINE
VICE PRESIDENT
1520 ANTHOLOGY DR
DURHAM NC 27703-9894
Officer/Director/Trustee Four
MARIE SERINE
SECRETARY
1520 ANTHOLOGY DR
DURHAM NC 27703-9894
Officer/Director/Trustee Five
CHARLOTTE PAUL
HUMAN RESOURCES
1003 BOOKMARK TRAIL
DURHAM NC 27703-9894
| Organization’s website | WWW.CREEKSIDEPIF.COM |
|---|---|
| Organization’s email | WALLSKEV@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 7/7/2017 |
| Organization Incorporation State | NC |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | T50 - Philanthropy, Charity, Voluntarism Promotion, General |
| 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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