FORM 1023-EZ for THE ACTSS ORGANIZATION

Field Data
EIN 47-4177877
Case Number EO-2017061-000197
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE ACTSS ORGANIZATION
Organization’s Mailing Address PO BOX 49208
City GREENSBORO
State NC
ZIP 27419-1208
Accounting period End 12
Primary contact name KIMBERLY PAYNE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KIMBERLY PAYNE
PRESIDENT
5630 WEST MARKET STREET
GREENSBORO NC 27409-2420

Officer/Director/Trustee Two

SELENA MCKINNEY
TREASURER
38 TANNENBAUM CIRCLE
GREENSBORO NC 27410-9686

Officer/Director/Trustee Three

ANDREA STOKES
SECRETARY
1521 BRIDFORD PARKWAY
GREENSBORO NC 27407-2660

Officer/Director/Trustee Four

NICOLE PAYNE
VICE PRESIDENT
12 HILTON PLACE
GREENSBORO NC 27409-2434

Organization’s website
Organization’s email ACTSS2035@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/15/2015
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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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