FORM 1023-EZ for XCEPTIONAL FAMILY SERVICES

Field Data
EIN 85-2343931
Case Number EO-2020244-000552
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name XCEPTIONAL FAMILY SERVICES
Organization’s Mailing Address 1406 KELSTON PL APT 101
City CHARLOTTE
State NC
ZIP 28212
Accounting period End 12
Primary contact name EDDIE HUBERT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DANIEL COBBINS
PRESIDENT
14
CHARLOTTE NC 28212

Officer/Director/Trustee Two

PRECIOUS KOTTE
VICE PRESIDENT
7434 BLYTHWOOD LANE
CHARLOTTE NC 28227

Officer/Director/Trustee Three

SHANIECE RUSH
SECRETARY
4511 KEENELAND LN
CHARLOTTE NC 28216

Officer/Director/Trustee Four

EDDIE HUBERT
TREASURER
7911 RUSTY PLOW CT
CHAARLOTTE NC 28216

Organization’s website
Organization’s email XCEPTIONALFAMILYSERVICES@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/3/2020
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F01 - Alliance/Advocacy Organizations
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 Yes
Donation of funds Yes
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More Yes
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 EDDIE HUBERT
Signature Title TREASURER
Signature Date 8/28/2020

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