FORM 1023-EZ for FRESH START - SOUTH

Field Data
EIN 46-5061387
Case Number EO-2015057-000152
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FRESH START - SOUTH
Organization’s Mailing Address 7899 FOXCROFT LANE
City CHARLOTTE
State NC
ZIP 28213
Accounting period End 12
Primary contact name L-TANYA PERRY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

L-TANYA PERRY
PRESIDENT
7899 FOXCROFT LANE
CHARLOTTE NC 28213

Officer/Director/Trustee Two

LASHAREE ROGERS
TREASURER
1577 EDENTON STREET
CONCORD NC 28027

Officer/Director/Trustee Three

DONNA KIDD
SECRETARY
140 FARM SPRINGS ROAD
MOUNT HOLLY NC 28120

Officer/Director/Trustee Four

KAREN ISBELL
DIRECTOR
4277 JEFFERSON PLACE
GRANITE FALLS NC 28630

Officer/Director/Trustee Five

ESSIE MCCORKLE
DIRECTOR
4616 TRILLIUM FIELDS DRIVE
CHARLOTTE NC 28269

Organization’s website HTTP://LTANYAPERRY.WIX.COM/FRESH-START-SOUTH
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/10/2014
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 Yes
Donation of funds Yes
Conducting Activities Outside of United States Yes
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
Signature Title
Signature Date

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