FORM 1023-EZ for ETERNITY FOUNDATION INC

Field Data
EIN 46-0836794
Case Number EO-2015345-000238
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ETERNITY FOUNDATION INC
Organization’s Mailing Address 5631 MOUNT HOLLY HUNTERSVILLE ROAD
City CHARLOTTE
State NC
ZIP 28216
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 $400.00
Officer/Director/Trustee One

MARIA HERRERA
PRESIDENT
5631 MT HOLLY HUNTERSVILLE RD
CHARLOTTE NC 28216

Officer/Director/Trustee Two

SANTA BAUTISTA
SECRETARY
2121 COMMERCE DR 208
MONROE NC 28110

Officer/Director/Trustee Three

DANIEL CABRERA
TREASURER
5631 MT HOLLY HUNTERSVILLE RD
CHARLOTTE NC 28216

Officer/Director/Trustee Four

WILLIAM PORAMO
DIRECTOR
463 HILL CREST DR
STATESVILLE NC 28677

Officer/Director/Trustee Five

JUAN URIBE
DIRECTOR
5800 N SHARON AMITY RD B
CHARLOTTE NC 28237

Organization’s website WWW.MARIAHERRERA.WIX.COM/ETERNITYFOUNDATION
Organization’s email ETERNITYFOUNDATION.MH@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/21/2012
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E60 - Health Support Services
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
Signature Title
Signature Date

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