FORM 1023-EZ for IOTA PHI GAMMA FRATERNITY INCORPORATED

Field Data
EIN 83-4651982
Case Number EO-2019217-000083
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name IOTA PHI GAMMA FRATERNITY INCORPORATED
Organization’s Mailing Address 5501 KEYWAY BLVD C
City CHARLOTTE
State NC
ZIP 28215
Accounting period End 12
Primary contact name KINYA MANTESHA ROSEBORO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KINYA MANTESHA ROSEBORO
PRESIDENT, COMM SERVICE DIRECTOR
5501 KEYWAY BLVD C
CHARLOTTE NC 28215

Officer/Director/Trustee Two

NAKIA JOHNSON
NATIONAL VICE PRESIDENT
215 IVY HOME ROAD
HAMPTON VA 23669

Officer/Director/Trustee Three

TIFFANY HOPKINS
NATIONAL SECRETARY
9732 SPRINGFIELD WOODS CIRCLE
GLEN ALLEN VA 23060

Officer/Director/Trustee Four

TENESHIA GAY
NATIONAL TREASURER
2426 SOUTH LAKE AVENUE B
SANFORD FL 32771

Organization’s website
Organization’s email IPG@IOTAPHIGAMMA.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/6/19
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T30 - Public Foundations
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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 KINYA MANTESHA ROSEBORO
Signature Title PRESIDENT
Signature Date 8/3/19

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