FORM 1023-EZ for MOBILE PEER UNIT

Field Data
EIN 83-4147558
Case Number EO-2019150-000382
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MOBILE PEER UNIT
Organization’s Mailing Address 1500 E 11TH STREET
City WINSTON SALE
State NC
ZIP 27101-3218
Accounting period End 12
Primary contact name DERRICK RENARD PENDER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DERRICK RENARD PENDER
PRESIDENT
1500 E 11TH STREET
WINSTON SALEM NC 27101-3218

Officer/Director/Trustee Two

SUE TOOD WARREN
SECRETARY
5075 SCENIC DRIVE
WINSTON SALEM NC 27105-2014

Officer/Director/Trustee Three

LAURIE COKER
TREASURE
2701 STOCKTON STREET
WINSTON SALEM NC 27127-4051

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/20/19
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: 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 DERRICK RENARD PENDER
Signature Title PRESIDENT
Signature Date 5/28/19

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