FORM 1023-EZ for MICHAELS ANGELS GIRLS CLUB

Field Data
EIN 81-2898219
Case Number EO-2016165-000476
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MICHAELS ANGELS GIRLS CLUB
Organization’s Mailing Address 1102 PANOLA STREET
City TARBORO
State NC
ZIP 27886
Accounting period End 12
Primary contact name SHANELL KNIGHT DANIELS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

SHANELL DANIELS
DIRECTOR
1102 PANOLA STREET
TARBORO NC 27886

Officer/Director/Trustee Two

LISA KNIGHT
VICE PRESIDENT
117 E PITT ST
TARBORO NC 27886

Officer/Director/Trustee Three

CHRISTINE EXUM SMITH
SECRETATY-TREASURER
1229 BLUE RUG ROAD
ROCKY MOUNT NC 27801

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/10/2016
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O22 - Girls Clubs
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 Yes
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 Yes
One Third Support Gifts No
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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