FORM 1023-EZ for INSTITUTE FOR PREVENTIVE HEALTHCAREAND ADVOCACY

Field Data
EIN 85-0804230
Case Number EO-2020121-000174
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name INSTITUTE FOR PREVENTIVE HEALTHCAREAND ADVOCACY
Organization’s Mailing Address 43 MCGEE HILL
City FAIRVIEW
State NC
ZIP 28730-8820
Accounting period End 9
Primary contact name KATHEY AVERY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KATHEY AVERY
CO-CHAIR
43 MCGEE HILL ROAD
FAIRVIEW NC 28730-8820

Officer/Director/Trustee Two

STEPHANIE SWEPSON TWITTY
CO-CHAIR
43 MCGEE HILL ROAD
FAIRVIEW NC 28730-8820

Officer/Director/Trustee Three

JANE HATLEY
TRESURER
43 MCGEE HILL ROAD
FAIRVIEW NC 28730-8820

Officer/Director/Trustee Four

JONI DAVIS
SECRETARY
43 MCGEE HILL ROAD
FAIRVIEW NC 28730-8820

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/20/2020
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E70 - Public Health Program (Includes General Health and Wellness Promotion Services)
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 Yes
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 KATHEY AVERY
Signature Title CO-CHAIR
Signature Date 4/28/2020

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