FORM 1023-EZ for DANIELS DEN PROVIDENTIAL CENTER

Field Data
EIN 46-5755913
Case Number EO-2016218-000099
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name DANIELS DEN PROVIDENTIAL CENTER
Organization’s Mailing Address 705 SOUTHGATE DRIVE
City RALEIGH
State NC
ZIP 27610
Accounting period End 12
Primary contact name PEGGY H WALKER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PEGGY WALKER
OPERATING OFFICER
705 SOUTHGATE DRIVE
RALEIGH NC 27610

Officer/Director/Trustee Two

MONIKA WALKER
FINANCIAL OFFICER
705 SOUTHGATE DRIVE
RALEIGH NC 27610

Officer/Director/Trustee Three

REECO RICHARDSON
DIRECTOR
705 SOUTHGATE DRIVE
RALEIGH NC 27610

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/21/2014
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B90 - Educational Services and Schools - Other
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
Scientific: No
Literary: Yes
Public Safety: Yes
Amateur Sports: No
Cruelty Prevention: Yes
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee Yes
Donation of funds No
Conducting Activities Outside of United States No
Financial transactions with officers Yes
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance Yes
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
Signature Title
Signature Date

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