FORM 1023-EZ for DICE SUMMER CAMP INC

Field Data
EIN 82-3335870
Case Number EO-2018066-000161
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name DICE SUMMER CAMP INC
Organization’s Mailing Address PO BOX 7438
City CONCORD
State NC
ZIP 28027
Accounting period End 12
Primary contact name CHARZETTE BROWN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHARZETTE BROWN
CHIEF EXECUTIVE OFFICER
202 SOUTHAMPTON DR NW
CONCORD NC 28027

Officer/Director/Trustee Two

JENNIFER BARBER
DIRECTOR CFO
4300 HUBBARD FALLS DR
CHARLOTTE NC 28269

Officer/Director/Trustee Three

RENEE SCOTT BLOUNT
DIRECTOR/CHAIR
3439 GRANDEUR RD
CHARLOTTE NC 28269

Officer/Director/Trustee Four

CASSANDRA WILLIAMS
DIRECTOR
3515 DAVID COX ROAD UNIT481709
CHARLOTTE NC 28269

Officer/Director/Trustee Five

BRETT CERRATO
DIRECTOR
2523 TRANQUIL OAK PL
CHARLOTTE NC 28206

Organization’s website WWW.CAMPDICE.ORG
Organization’s email DICESUMMERCAMP@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/7/17
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: No
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 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 CHARZETTE BROWN
Signature Title CHIEF EXECUTIVE OFFICER
Signature Date 3/5/18

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