FORM 1023-EZ for TRIAD DAY GROUP

Field Data
EIN 81-5321446
Case Number EO-2018036-000187
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name TRIAD DAY GROUP
Organization’s Mailing Address 211 LINDSAY ST
City HIGH POINT
State NC
ZIP 27262
Accounting period End 12
Primary contact name KEVIN SANDERS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KEVIN SANDERS
OFFICER
301 LAKESHORE DR
THOMASVILLE NC 27360

Officer/Director/Trustee Two

CHARLIE LITTLE
OFFICER
1207 LAKECREST RD
HIGH POINT NC 27265

Officer/Director/Trustee Three

LEONARDO CHAPMAN
DIRECTOR
2809 PLEASANT GARDEN ROAD
GREENSBORO NC 27406

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/10/17
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P71 - Adult Daycare
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 Yes
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 KEVIN SANDERS
Signature Title OFFICER
Signature Date 2/1/18

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