FORM 1023-EZ for NEW COVENANT CHURCH OF DELIVERANCEOUTREACH MINISTRIES

Field Data
EIN 81-1124167
Case Number EO-2016270-000132
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name NEW COVENANT CHURCH OF DELIVERANCEOUTREACH MINISTRIES
Organization’s Mailing Address 488 WILLINGSTON DRIVE
City ROCKY MOUNT
State NC
ZIP 28590
Accounting period End 12
Primary contact name TAMICA GRAY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TAMEKIA RAWLINS
VICE PRESIDENT
PO BOX 8022
ROCKY MOUNTAIN NC 27804

Officer/Director/Trustee Two

TAMICA GRAY
TREASURER
2817 WELLINGTON DR
ROCKY MOUNTAIN NC 27803

Officer/Director/Trustee Three

KAREN WHITFIELD
TREASURER
1133 BEAL ST
ROCKY MOUNTAIN NC 27804

Officer/Director/Trustee Four

JESONYA WHITFIELD
PRESIDENT
1133 BEAL ST
ROCKY MOUNTAIN NC 27804

Officer/Director/Trustee Five

KENYA LEWIS
SECRETARY
6333 EVERETTE
ROCKY MOUNTAIN NC 27822

Organization’s website
Organization’s email NCCODOM@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/10/2016
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: Yes
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
Signature Title
Signature Date

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