FORM 1023-EZ for AUGIES WISH FOUNDATION

Field Data
EIN 26-1681256
Case Number EO-2019029-000269
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name AUGIES WISH FOUNDATION
Organization’s Mailing Address 7209 W WT HARRIS BLVD SUITEJ56
City CHARLOTTE
State NC
ZIP 28227
Accounting period End 12
Primary contact name EVAN PEREZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

EVAN PEREZ
PRESIDENT
6701 N TRYON ST SUITE C
CHARLOTTE NC 28213

Officer/Director/Trustee Two

COLLETTE WILLIAMS
VICE PRESIDENT
7229 FOX POINT DR
CHARLOTTE NC 28269

Officer/Director/Trustee Three

JEWEL WILSON
SECRATARY
5448 APEX PEAKWAY SUITE 254
APEX NC 27502

Officer/Director/Trustee Four

DAVIDA MORELAND
TREASURER
914 HOUSTON HEIGHTS RD
CHARLOTTE NC 28262

Officer/Director/Trustee Five

TINSLO COVINGTON
BOARD MEMEBR
2730 COLUMBUS
CHARLOTTE NC 28208

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/5/11
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
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 Yes
Correctness Declaration Yes
Signature Name EVAN PEREZ
Signature Title PRESIDENT
Signature Date 12/17/18

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