FORM 1023-EZ for PROJECT PROUD

Field Data
EIN 56-2008402
Case Number EO-2016298-000552
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PROJECT PROUD
Organization’s Mailing Address 404 MAIN STREET
City TARBORO
State NC
ZIP 27886
Accounting period End 12
Primary contact name PHYLLIS WALLER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PHYLLIS WALLER
EXECUTIVE DIRECTOR
404 MAIN STREET
TARBORO NC 27886

Officer/Director/Trustee Two

LEON WALLER
PRESIDENT
404 MAIN STREET
TARBORO NC 27886

Officer/Director/Trustee Three

SANDRA NOBLE
SECRETARY/TREASURER
117 MELISSA DRIVE
ROCKY MOUNT NC 27886

Officer/Director/Trustee Four

LOIS GLASS
VICE PRESIDENT
17 NORTHWESTERN BLVD
TARBORO NC 27886

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/1/1994
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: Yes
Educational: Yes
Scientific: No
Literary: Yes
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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 Yes
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 Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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