FORM 1023-EZ for OUR COMMUNITY TABLE CONCORD NC CORP
| Field | Data |
|---|---|
| EIN | 84-2512274 |
| Case Number | EO-2019217-000179 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | OUR COMMUNITY TABLE CONCORD NC CORP |
| Organization’s Mailing Address | 887 PITTS SCHOOL RD SW |
| City | CONCORD |
| State | NC |
| ZIP | 28027 |
| Accounting period End | 6 |
| Primary contact name | SAM MURR |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
DWAYNE VAUGHAN
PRESIDENT, BOARD OF DIRECTORS
5337 BEDFORDSHIRE AVE
HARRISBURG NC 28075
Officer/Director/Trustee Two
JOHN CARROLL
VP, BOARD OF DIRECTORS
954 FLANNERY PLACE NW
CONCORD NC 28027
Officer/Director/Trustee Three
GENE WHITLEY
TREASURER, BOARD OF DIRECTORS
8210 CRAIGHEAD RD
HARRISBURG NC 28075
Officer/Director/Trustee Four
KEVIN SEGER
SECRETARY, BOARD OF DIRECTORS
2453 PLANTATION RD NW
CONCORD NC 28027
Officer/Director/Trustee Five
JIMMY BRITT
MEMBER, BOARD OF DIRECTORS
887 PITTS SCHOOL RD SW
CONCORD NC 28027
| Organization’s website | OURCOMMUNITYTABLECONCORDNC.ORG |
|---|---|
| Organization’s email | OURCOMMUNITYTABLECONCORDNC@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 7/19/19 |
| Organization Incorporation State | NC |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | K30 - Food Service, Free Food Distribution Programs |
| 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 | DWAYNE VAUGHAN |
| Signature Title | PRESIDENT, BOARD OF DIRECTORS |
| Signature Date | 8/1/19 |
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