FORM 1023-EZ for THE PALACE

Field Data
EIN 94-3418273
Case Number EO-2019186-000302
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE PALACE
Organization’s Mailing Address 312 LINDEN AVE
City ROCKY MOUNT
State NC
ZIP 27801-6238
Accounting period End 12
Primary contact name WILLIE RAY BRASWELL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

WILLIE BRASWELL
BOARD CHAIR
312 LINDEN AVENUE
ROCKY MOUNT NC 27801-6238

Officer/Director/Trustee Two

TAMMY PEARSON
VICE CHAIR
2508-B MARYBETH CT
WILSON NC 27893-6940

Officer/Director/Trustee Three

STEVON JOHNSON
TREASURER
255 GUTHRIE TURNER ROAD
SNOW HILL NC 28580-8761

Officer/Director/Trustee Four

DELVINA BRASWELL
SECRETARY
3333 OCTAVIA DRIVE
ROCKY MOUNT NC 27804-8167

Officer/Director/Trustee Five

ROSE WHITAKER
BOARD MEMBER
505 EXCHANGE LANE APT D
SHARPSBURG NC 27878

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/31/02
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: Yes
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 WILLIE BRASWELL
Signature Title BOARD CHAIR
Signature Date 7/3/19

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