FORM 1023-EZ for GREENTREE PEER PROGRAM
| Field | Data |
|---|---|
| EIN | 46-3717372 |
| Case Number | EO-2017173-000381 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | GREENTREE PEER PROGRAM |
| Organization’s Mailing Address | 731 E SPRAGUE STREET |
| City | WINSTON-SALEM |
| State | NC |
| ZIP | 27107 |
| Accounting period End | 10 |
| Primary contact name | LAURIE COKER |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
MICHELE TODD-DAVIS
BOARD CHAIR
1028 SHALIMAR DRIVE
WINSTON-SALEM NC 27107
Officer/Director/Trustee Two
TERESA CUTTS
VICE CHAIR
502 TANNERS PARK COURT
WINSTON-SALEM NC 27101
Officer/Director/Trustee Three
ELIZABETH ZUBER
SECRETARY
441 HORACE MANN AVENUE
WINSTON-SALEM NC 27104
Officer/Director/Trustee Four
LAURIE COKER
DIRECTOR AND BOARD MEMBER
2701 STOCKTON STREET
WINSTON-SALEM, NC 27127-4051
| Organization’s website | WWW.GREENTREEPEERCENTER.WEEBLY.COM |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 12/5/2013 |
| Organization Incorporation State | NC |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | F99 - Mental Health, Crisis Intervention N.E.C. |
| 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 | 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 | Yes |
| One Third Support Public | No |
| One Third Support Gifts | Yes |
| Benefit of College | No |
| Private Foundation 508(e) | No |
| Seeking Retroactive Reinstatement | Yes |
| Seeking Section 7 Reinstatement | No |
| Correctness Declaration | Yes |
| Signature Name | |
| Signature Title | |
| Signature Date | |
| EIN | 46-3717372 |
| Case Number | EO-2015365-000185 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | GREENTREE PEER PROGRAM |
| Organization’s Mailing Address | 731 E SPRAGUE STREET |
| City | WINSTON-SALEM |
| State | NC |
| ZIP | 27107 |
| Accounting period End | 10 |
| Primary contact name | LAURA COKER |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $400.00 |
Officer/Director/Trustee One
LAURIE COKER
EXECUTIVE OFFICER, SECRETARY
2701 STOCKTON STREET
WINSTON SALEM NC 27127
Officer/Director/Trustee Two
VICKIE WALKER
BOARD CHAIR
3347 LINDA CIRCLE
WINSTON SALEM NC 27106
Officer/Director/Trustee Three
ELIZABETH BLAKE
BOARD VICE CHAIR
389 N GREEN STREET
WINSTON SALEM NC 27101
Officer/Director/Trustee Four
JUDY BRIGGS
TREASURER
2613 BELWICK VILLAGE DRIVE
WINSTON SALEM NC 27106
Officer/Director/Trustee Five
MONIKA STARS
BOARD MEMBER AND PROGRAM LIAISON
5643 HARRINGTON VILLAGE DRIVE
WINSTON SALEM NC 27105
| Organization’s website | GREENTREEPEERCENTER.WEEBLY.COM |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 12/5/2013 |
| Organization Incorporation State | NC |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | E99 - Health - General and Rehabilitative N.E.C. |
| 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 | 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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