FORM 1023-EZ for GODWIN-FALCON COMMUNITY WATCH

Field Data
EIN 47-1987396
Case Number EO-2016155-000240
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name GODWIN-FALCON COMMUNITY WATCH
Organization’s Mailing Address PO BOX 51
City GODWIN
State NC
ZIP 28344
Accounting period End 12
Primary contact name SHIRLEY GRILLO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

CURTIS FORTE
PRESIDENT
4924 MARKAM STREET
GODWIN NC 28344

Officer/Director/Trustee Two

GLEN REED
VICE-PRESIDENT
4924 MARKAM STREET
GODWIN NC 28344

Officer/Director/Trustee Three

SHIRLEY GRILLO
TREASURER
4924 MARKAM STREET
GODWIN NC 28344

Officer/Director/Trustee Four

SCARLET HALL
SECRETARY
4924 MARKAM STREET
GODWIN NC 28344

Officer/Director/Trustee Five

RANDY BREWINGTON
PUBLIC AFFAIRS
4924 MARKAM STREET
GODWIN NC 28344

Organization’s website
Organization’s email GODWINFALCONWATCH@YAHOO.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/14/2015
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code M40 - Safety Education
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 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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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