FORM 1023-EZ for CITYWORKS USA

Field Data
EIN 83-4622275
Case Number EO-2019231-000187
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CITYWORKS USA
Organization’s Mailing Address 11 JOSHUA TRAIL
City CANDLER
State NC
ZIP 28175
Accounting period End 12
Primary contact name JOSEPH HACKETT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOSEPH HACKETT
PRESIDENT/DIRECTOR
11 JOSHUA TRAIL
CANDLER NC 28175

Officer/Director/Trustee Two

KETURAH PARKER
TREASURER/DIRECTOR
11 JOSHUA TRAIL
CANDLER NC 28175

Officer/Director/Trustee Three

ANTHONY LYNCH
SECRETARY/DIRECTOR
11 JOSHUA TRAIL
CANDLER NC 28175

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/28/19
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P99 - Human Services - Multipurpose and Other 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 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 JOSEPH HACKETT
Signature Title PRESIDENT/DIRECTOR
Signature Date 8/15/19

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