FORM 1023-EZ for SAFE KIDS CUMBERLAND COUNTY INC

Field Data
EIN 81-4730165
Case Number EO-2019273-000269
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SAFE KIDS CUMBERLAND COUNTY INC
Organization’s Mailing Address 300 RUTH STREET
City SPRING LAKE
State NC
ZIP 28390
Accounting period End 12
Primary contact name MS CAROL M SHAFER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JASON WILLIAMS
DIRECTOR/PRESIDENT
300 RUTH
SPRING LAKE NC 28390

Officer/Director/Trustee Two

CAROL SHAFER
TREASURER
300 RUTH STREET
SPRING LAKE NC 28390

Officer/Director/Trustee Three

ROBERT BROGDON
CHAIR
300 RUTH STREET
SPRING LAKE NC 28390

Officer/Director/Trustee Four

KENDLE HOLEMAN
COMMUNITY COORDINATOR
300 RUTH STREET
SPRING LAKE NC 28390

Officer/Director/Trustee Five

TIMOTHY PATTERSON
COALITION COORDINATOR
300 RUTH STREET
SPRING LAKE NC 28390

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/12/16
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B11 - Single Organization Support
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name CAROL SHAFER
Signature Title TREASURER
Signature Date 9/26/19

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