FORM 1023-EZ for TAK UNIVERSITY

Field Data
EIN 84-3365722
Case Number EO-2020203-000297
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name TAK UNIVERSITY
Organization’s Mailing Address 1213 GREENSBORO RD
City HIGH POINT
State NC
ZIP 27260
Accounting period End 12
Primary contact name KEITH GOINS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KATHARINE LAXTON
DIRECTOR
15107 ARBROATH CT
CHARLOTTE NC 28278

Officer/Director/Trustee Two

CORI JACKSON
DIRECTOR
1441 CHESAPEAKE AVE
CHESAPEAKE VA 23324

Officer/Director/Trustee Three

KEITH GOINS
DIRECTOR
549 ARBOR HILL RD 2C
KERNERSVILLE NC 27284

Organization’s website WWW.TAKEDU.ORG
Organization’s email TAK.EDU@TEACHERS.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/24/2019
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A02 - Management & Technical Assistance
Organization’s purpose Charitable: No
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 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 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 KEITH GOINS
Signature Title DIRECTOR
Signature Date 7/16/2020

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