FORM 1023-EZ for AMIA WORKS

Field Data
EIN 47-2912690
Case Number EO-2016078-000244
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name AMIA WORKS
Organization’s Mailing Address 1400 BATTLEGROUND AVE - SUITE 210E
City GREENSBORO
State NC
ZIP 27408-8042
Accounting period End 12
Primary contact name SHONDA SUTTON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

SHONDA SUTTON
EXECUTIVE DIRECTOR
3802 KING EDWARD CT
GREENSBORO NC 27455-2576

Officer/Director/Trustee Two

LESLIE GARNER
TREASURER
2021 WALKER AVE
GREENSBORO NC 27403-1653

Officer/Director/Trustee Three

NICOLE ODUH
SECRETARY
5638 WEST MARKET ST / APT-E
GREENSBORO NC 27409-2424

Organization’s website
Organization’s email SJSUTTON.CONSULTING@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/2/2015
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code J20 - Employment Procurement Assistance, Job Training
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 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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