FORM 1023-EZ for RISE2IMPACT INC

Field Data
EIN 83-1574978
Case Number EO-2018262-000131
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name RISE2IMPACT INC
Organization’s Mailing Address 12939 BULLOCK GREENWAY BLVD
City CHARLOTTE
State NC
ZIP 28277
Accounting period End 12
Primary contact name C MARIA MACON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JERRY DUNCAN
PRESIDENT
12939 BULLOCK GREENWAY BLVD
CHARLOTTE NC 28277

Officer/Director/Trustee Two

WINSTON WATSON
VICE PRESIDENT
14000 MALLARD LAKE ROAD
CHARLOTTE NC 28262

Officer/Director/Trustee Three

RHONDA SMALL
SECRETARY
9024 BLUE SHOT CT
CHARLOTTE NC 28273

Officer/Director/Trustee Four

LATOYA DUNCAN
TREASURER
12939 BULLOCK GREENWAY BLVD
CHARLOTTE NC 28277

Officer/Director/Trustee Five

JOHN GORDON
DIRECTOR
7805 TRAVERS RUN DRIVE
CHARLOTTE NC 28215

Organization’s website
Organization’s email STONEYID2C@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/23/18
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
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 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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JERRY DUNCAN
Signature Title PRESIDENT
Signature Date 9/17/18

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