FORM 1023-EZ for MIRIAMS VISION

Field Data
EIN 47-5084653
Case Number EO-2018290-000274
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MIRIAMS VISION
Organization’s Mailing Address 2325 KINMERE DRIVE
City GASTONIA
State NC
ZIP 28056
Accounting period End 12
Primary contact name MIRIAM MAYS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MIRIAM MAYS
DIRECTOR
2325 KINMERE DRIVE
GASTONIA NC 28056

Officer/Director/Trustee Two

PAMELA MAYS
TRUSTEE
3600 WINTERFIELD PLACE
CHARLOTTE NC 28205

Officer/Director/Trustee Three

YAPHETTE MAYS
TRUSTEE
7538 SADDLE TRAIL LANE
CHARLOTTE NC 28269

Officer/Director/Trustee Four

THOMAS DAVIE JR
FINANCE OFFICER
304 LINCOLN STREET
BELMONT NC 28012

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/12/15
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 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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name MIRIAM MAYS
Signature Title DIRECTOR
Signature Date 10/15/18

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