FORM 1023-EZ for ASSIST ME

Field Data
EIN 81-1704351
Case Number EO-2016097-000303
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ASSIST ME
Organization’s Mailing Address 12636 BANNOCK DRIVE
City CHARLOTTE
State KY
ZIP 28277
Accounting period End 12
Primary contact name JOHN SHEEHAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JOHN SHEEHAN
PRESIDENT CHAIRMAN OF THE BOARD
12636 BANNOCK DRIVE
CHARLOTTE NC 28277

Officer/Director/Trustee Two

KYLE TAURA
TREASURER
4862 DABNEY VIGOR DR
CHARLOTTE NC 28209

Officer/Director/Trustee Three

TODD BENNETT
SECRETARY
11570 CROSSROADS PLACE
CONCORD NC 28025

Officer/Director/Trustee Four

ERIN BALL
DIRECTOR
5567 YORKE STREET NW
CONCORD NC 28027

Officer/Director/Trustee Five

SHERRY SIMPSON
DIRECTOR
2703 CRICKET COVE
WAXHAW KY 28123

Organization’s website TBD
Organization’s email JASHEEHAN@HOTMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/26/2016
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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