FORM 1023-EZ for TLC FUND

Field Data
EIN 47-4004867
Case Number EO-2015156-000069
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name TLC FUND
Organization’s Mailing Address 6403 MESA VERDE COURT
City CLIMAX
State NC
ZIP 27233
Accounting period End 12
Primary contact name JACQUELINE STANLEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

SANDRA LAND
BOARD CHAIR
6403 MESA VERDE COURT
CLIMAX NC 27233

Officer/Director/Trustee Two

BETHANY STAPLES
SECRETARY
5310 FOX COVE LANE APT 10
GREENSBORO NC 27407

Officer/Director/Trustee Three

HELEN LAND
VICE CHAIR
1141 GLENDALE DRIVE
GREENSBORO NC 27406

Officer/Director/Trustee Four

JEFF GORDON
TREASURER
3500 SUMMIT LAKES DRIVE
BROWNS SUMMIT NC 27214

Officer/Director/Trustee Five

KATE SHERIDAN
BOARD MEMBER
7439 HWY 70 SOUTH 272
NASHVILLE TN 37221

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/6/2015
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Z99 -
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 Yes
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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