FORM 1023-EZ for WITHIN THIS WOMANS HOUSE

Field Data
EIN 82-2888474
Case Number EO-2017286-000388
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name WITHIN THIS WOMANS HOUSE
Organization’s Mailing Address P O BOX 1704
City KERNERSVILLE
State NC
ZIP 27285-1704
Accounting period End 9
Primary contact name CATHERINE M ROSE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CATHERINE ROSE
EXECUTIVE DIRECTOR, BOARD MEMBER
PO BOX 1704
KERNERSVILLE NC 27285-1704

Officer/Director/Trustee Two

EDWARD ROSE
TREASURER, SECRETARY, BOARD MEMBER
PO BOX 1704
KERNERSVILLE NC 27285-1704

Officer/Director/Trustee Three

JAMES MCLEAN
BOARD MEMBER
PO BOX 1704
KERNERSVILLE NC 27285-1704

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/27/2017
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X20 - Christian
Organization’s purpose Charitable: Yes
Religious: Yes
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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