FORM 1023-EZ for FOSTER VILLAGE CHARLOTTE

Field Data
EIN 82-4729146
Case Number EO-2018108-000096
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FOSTER VILLAGE CHARLOTTE
Organization’s Mailing Address 2117 KEEGAN COURT
City MATTHEWS
State NC
ZIP 28104
Accounting period End 12
Primary contact name TRACI PRILLAMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TRACI PRILLAMAN
CO-FOUNDER
2117 KEEGAN CT
MATTHEWS NC 28104

Officer/Director/Trustee Two

REBECCA SANTORO
CO-FOUNDER
1700 WEST LAPORTE
CHARLOTTE NC 28216

Officer/Director/Trustee Three

SLOAN CRAWFORD
CO-FOUNDER
2137 QUEENS ROAD EAST
CHARLOTTE NC 28207

Officer/Director/Trustee Four

MOLLY ZALEWSKI
CO-FOUNDER
768 MONTFORD DRIVE
CHARLOTTE NC 28209

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/16/18
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P30 - Children's, Youth Services
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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 TRACI PRILLAMAN
Signature Title CO-FOUNDER
Signature Date 3/20/18

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