FORM 1023-EZ for PHETE FOUNDATION INCORPORATED
| Field | Data |
|---|---|
| EIN | 81-1915784 |
| Case Number | EO-2018136-000470 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | PHETE FOUNDATION INCORPORATED |
| Organization’s Mailing Address | 16011-A LANCASTER HWY UNIT 121 |
| City | CHARLOTTE |
| State | NC |
| ZIP | 28277 |
| Accounting period End | 12 |
| Primary contact name | SHELTON BROWN |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
SHELTON BROWN
PRESIDENT/CEO
15655 GREYTHORNE DRIVE
CHARLOTTE NC 28277
Officer/Director/Trustee Two
SHERYL LAMB
CHIEF MEDICAL OFFICER
15655 GREYTHORNE DRIVE
CHARLOTTE NC 28277
Officer/Director/Trustee Three
STACEY COMPTON-MAGA
CHIEF OPERATING OFFICER
191 EAST 17TH STREET APT 2E
BROOKLYN NY 11226
| Organization’s website | PHETEFOUNDATION.ORG |
|---|---|
| Organization’s email | PHETEFOUNDATION@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 11/17/17 |
| Organization Incorporation State | NC |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | S20 - Community, Neighborhood Development, Improvement (General) |
| Organization’s purpose | Charitable: Yes Religious: No Educational: Yes Scientific: No Literary: Yes 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 | 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 | SHELTON BROWN |
| Signature Title | PRESIDENT/CEO |
| Signature Date | 5/14/18 |
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