FORM 1023-EZ for POWERSECURE EMPLOYEE ASSISTANCE FUND INC

Field Data
EIN 26-2578412
Case Number EO-2020017-000199
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name POWERSECURE EMPLOYEE ASSISTANCE FUND INC
Organization’s Mailing Address 1609 HERITAGE COMMERCE COURT
City WAKE FOREST
State NC
ZIP 27587-4245
Accounting period End 12
Primary contact name ANSON KILLIANY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHARLES LIGON
COO/PRESIDENT
1609 HERITAGE COMMERCE COURT
WAKE FOREST NC 27587-4245

Officer/Director/Trustee Two

ANSON KILLIANY
DIRECTOR OF TAX
1609 HERITAGE COMMERCE COURT
WAKE FOREST NC 27587-4245

Officer/Director/Trustee Three

JAMES SMITH
DIRECTOR
1609 HERITAGE COMMERCE COURT
WAKE FOREST NC 27587-4245

Officer/Director/Trustee Four

JENNIFER FRIEDLEY
DIRECTOR
1609 HERITAGE COMMERCE COURT
WAKE FOREST NC 27587-4245

Officer/Director/Trustee Five

SHEILA BRECKENRIDGE
DIRECTOR
1609 HERITAGE COMMERCE COURT
WAKE FOREST NC 27587-4245

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/9/2008
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Z99 - Unclassified
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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 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 Yes
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 ANSON KILLIANY
Signature Title DIRECTOR OF TAX
Signature Date 1/15/2020

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