FORM 1023-EZ for JUSTNCASSE COMMUNITY ENROLLMENT CENTER

Field Data
EIN 81-4326592
Case Number EO-2016340-000331
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name JUSTNCASSE COMMUNITY ENROLLMENT CENTER
Organization’s Mailing Address 5701 EXECUTIVE CENTER DR 101
City CHARLOTTE
State NC
ZIP 28212
Accounting period End 12
Primary contact name C MARIA MACON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROBIN TOLLIVER AYOTUNDE
PRESIDENT
7023 SCUPPERNONG CT
CHARLOTTE NC 28215

Officer/Director/Trustee Two

CHARMA ADDISON
SECRETARY
3229 ASHWELL OAKS LANE
MATTHEWS NC 28105

Officer/Director/Trustee Three

CORETTA FARRAR
TREASURER
8728 HAZELCROFT LANE
CHARLOTTE NC 28269

Officer/Director/Trustee Four

BRIAN WISE
DIRECTOR
9031 SKIPAWAY DR
WAXHAW NC 28173

Officer/Director/Trustee Five

WILLIAM HUMES
DIRECTOR
830 DEVONSHIRE DR 25
CONCORD NC 28027

Organization’s website
Organization’s email ROBINJ.TA@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/28/2016
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E70 - Public Health Program (Includes General Health and Wellness Promotion Services)
Organization’s purpose Charitable: Yes
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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