FORM 1023-EZ for OUTER BANKS DEMENTIA FRIENDLY COALITION INC

Field Data
EIN 85-0522723
Case Number EO-2020120-000306
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name OUTER BANKS DEMENTIA FRIENDLY COALITION INC
Organization’s Mailing Address PO BOX 752
City KITTY HAWK
State NC
ZIP 27949
Accounting period End 12
Primary contact name JANIS COLLINS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DIANNE DENNY
PRESIDENT
1403 GOLDIE STREET
KILL DEVIL HILLS NC 27948

Officer/Director/Trustee Two

JANIS COLLINS
VICE PRESIDENT
85 HOLLOW BEACH COURT
SOUTHERN SHORES NC 29749

Officer/Director/Trustee Three

ANNE KELLEHER
SECRETARY
21 NORTH DUNE LOOP
SOUTHERN SHORES NC 27949

Officer/Director/Trustee Four

KATHERINE MCCARRON
TREASURER
1306 PERCY STREET
KILL DEVIL HILLS NC 27948

Officer/Director/Trustee Five

NOEL PRESTON
DIRECTOR
7000 CURRITUCK ROAD
KITTY HAWK NC 27949

Organization’s website WWW.FACEBOOK.COM/HEALTHYCAROLINIANSDEMENTIATASKFORCE
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/24/2020
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G83 - Alzheimer's Disease
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 Yes
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 JANIS COLLINS
Signature Title VICE PRESIDENT
Signature Date 4/27/2020

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