FORM 1023-EZ for JOSHUA LEE WARREN FOUNDATION

Field Data
EIN 82-5170327
Case Number EO-2019105-000311
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name JOSHUA LEE WARREN FOUNDATION
Organization’s Mailing Address PO BOX 1512
City DENVER
State NC
ZIP 28307
Accounting period End 12
Primary contact name JENNIFER FARMER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

GARY FARMER
PRESIDENT
12935 ALLISON FERRY ROAD
HUNTERSVILLE NC 28078

Officer/Director/Trustee Two

JENNIFER FARMER
SECRETARY
12935 ALLISON FERRY ROAD
HUNTERSVILLE NC 28037

Officer/Director/Trustee Three

CLARE MILLER
CHAIRPERSON
7946 HARBORMASTER COURT
DENVER NC 28037

Officer/Director/Trustee Four

DEBBIE HARTSELL
TREASURER
12935 ALLISON FERRY ROAD
DENVER NC 28037

Officer/Director/Trustee Five

MICHELLE PAGET
VOTING MEMBER
1372 OAKBROOK LANE
DENVER NC 28037

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/25/18
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code M12 - Fund Raising and/or Fund Distribution
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JENNIFER FARMER
Signature Title SECRETARY
Signature Date 4/11/19

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