FORM 1023-EZ for THE MOETIVATION FOUNDATION

Field Data
EIN 83-2797066
Case Number EO-2019121-000245
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE MOETIVATION FOUNDATION
Organization’s Mailing Address 717 PARHAM STREET
City ROCKY MOUNT
State NC
ZIP 27803
Accounting period End 6
Primary contact name MICHAEL DELOACH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHESTER WILLIAMS
BOARD CHAIR
310 RICHNECK ROAD
ENFIELD NC 27823

Officer/Director/Trustee Two

DEMETRIUS WHITEHEAD
VICE CHAIR
1014 BURTON STREET
ROCKY MOUNT NC 27803

Officer/Director/Trustee Three

MAURICE DELOACH
SECRETARY TREASURER
1413 PRESTWOOD COURT
GREENSBORO NC 27406

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/13/19
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: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
Cruelty Prevention: Yes
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 CHESTER WILLIAMS
Signature Title BOARD CHAIR
Signature Date 4/29/19

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