FORM 1023-EZ for I-CAN ACHIEVEMENT CENTER INCORPORATED

Field Data
EIN 83-3319626
Case Number EO-2019039-000809
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name I-CAN ACHIEVEMENT CENTER INCORPORATED
Organization’s Mailing Address 1911 WINDY WILLOW LANE
City DALLAS
State NC
ZIP 28034-267
Accounting period End 12
Primary contact name MAYA FEDRICK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MAYA FEDRICK
PRESIDENT
1911 WINDY WILLOW LANE
DALLAS NC 28034-267

Officer/Director/Trustee Two

KATRINA PATRICK
SECRETARY
3111 BENNETT NEEELY LANE
CHARLOTTE NC 28269-4058

Officer/Director/Trustee Three

HENDRIX HAYES
BOARD MEMBER
4701 ARCHING OAK LANE
CHARLOTTE NC 28212-5583

Officer/Director/Trustee Four

KAYLA EDWARDS
BOARD MEMBER
2427 CENTERGATE DRIVE
MIRAMAR FL 33025-7231

Officer/Director/Trustee Five

JOANN LATIMORE
BOARD MEMBER
138 BARWOOD CIRCLE
GREENVILLE SC 29611-7705

Organization’s website
Organization’s email SHINETTE@HOTMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/19/18
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B20 - Elementary, Secondary Education, K - 12
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 MAYA FEDRICK
Signature Title PRESIDENT
Signature Date 2/6/19

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