FORM 1023-EZ for ONE FAYETTEVILLE

Field Data
EIN 85-3801590
Case Number EO-2021160-000261
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ONE FAYETTEVILLE
Organization’s Mailing Address 3514 MACCUMBER CT
City FAYETTEVILLE
State NC
ZIP 28311
Accounting period End 12
Primary contact name MICHELLE ORNELAS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RACHEL BRADFORD
BOARD MEMBER
3514 MACCUMBER CT
FAYETTEVILLE NC 28311

Officer/Director/Trustee Two

MICHELLE BRADFORD-ORNELAS
CEO
3514 MACCUMBER CT
FAYETTEVILLE NC 28311

Officer/Director/Trustee Three

EMMANUEL WILLIAMS
BOARD MEMBER
604 TOKAY DRIVE
FAYETTEVILLE NC 28311

Officer/Director/Trustee Four

ALEX RODRIGUEZ
BOARD MEMBER
265 KENWOOD DRIVE
FAYETTEVILLE NC 28311

Officer/Director/Trustee Five

SHARON COBB
BOARD MEMBER
104 PERCH DRIVE
FAYETTEVILLE NC 28306

Organization’s website
Organization’s email M.ORNELAS.ONEFAYETTEVILLE.NC@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/2/2021
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 No
Donation of funds Yes
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 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 MICHELLE BRADFORD-ORNELAS
Signature Title CEO
Signature Date 6/7/2021

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