FORM 1023-EZ for THE KINGSTON COVER FOUNDATION

Field Data
EIN 81-5451909
Case Number EO-2017146-000286
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE KINGSTON COVER FOUNDATION
Organization’s Mailing Address 6470 HATCHIES DRIVE
City RALEIGH
State NC
ZIP 27610
Accounting period End 12
Primary contact name JAMIE SCOTT-COVER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JAMIE SCOTT-COVER
PRESIDENT
6470 HATCHIES DRIVE
RALEIGH NC 27610

Officer/Director/Trustee Two

JENNIFER DAWSON
TREASURER
7200 VIXEN CT
RALEIGH NC 27616

Officer/Director/Trustee Three

REBECCA WILBURN
SECRETARY
817 BREWER AVE APT A
WAKE FOREST NC 27587

Officer/Director/Trustee Four

DR MCALLISTER WATSON
VOLUNTEER
1145 SEARSTONE CT
DURHAM NC 27713

Organization’s website
Organization’s email KINGSTONCOVERFOUNDATION@YAHO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/20/2016
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code H11 - Single Organization Support
Organization’s purpose Charitable: Yes
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 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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