FORM 1023-EZ for SURRY STOKES FULLER CENTER FOR HOUSING INC

Field Data
EIN 56-1786653
Case Number EO-2021221-000226
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SURRY STOKES FULLER CENTER FOR HOUSING INC
Organization’s Mailing Address PO BOX 671
City PILOT MOUNTAIN
State NC
ZIP 27041
Accounting period End 6
Primary contact name STEPHANIE JOHNSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JEFF SORRELL
PRESIDENT
134 KEY STREET
PILOT MOUNTAIN NC 27041

Officer/Director/Trustee Two

STEPHANIE JOHNSON
SECRETARY TREASURER
110 NELSON ST
PILOT MOUNTAIN NC 27041

Officer/Director/Trustee Three

FRANKLIN NICHOLS
DIRECTOR
110 NELSON ST
PILOT MOUNTAIN NC 27041

Officer/Director/Trustee Four

BRISTOL MITCHEM
DIRECTOR
122 CLIFTON LANE
MT AIRY NC 27030

Officer/Director/Trustee Five

TAWANNA TAYLOR
DIRECTOR
176 LAKE VIEW DRIVE
MT AIRY NC 27030

Organization’s website FULLERCENTER.ORG SURRY-STOKES
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/30/2021
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code L81 - Home Improvement and Repairs
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 Yes
Correctness Declaration Yes
Signature Name STEPHANIE JOHNSON
Signature Title SECRETARY TREASURER
Signature Date 8/5/2021

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