FORM 1023-EZ for THRIVING IN PLACE

Field Data
EIN 82-3148863
Case Number EO-2017313-000120
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THRIVING IN PLACE
Organization’s Mailing Address 7151 OKELLY CHAPEL RD NUM252
City CARY
State NC
ZIP 27519
Accounting period End 12
Primary contact name JANE KOPCZYNSKI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JANE KOPCZYNSKI
PRESIDENT
908 PELTIER DR
CARY NC 27519

Officer/Director/Trustee Two

ROXANNE LORCH
VICE-PRESIDENT
107 REPTON CT
CARY NC 27519

Officer/Director/Trustee Three

MARY MCKEANEY
SECRETARY
1022 VENTNOR PL
CARY NC 27519

Officer/Director/Trustee Four

STANLEY LEVINE
TREASURER
1209 MARSALIS WAY
CARY NC 27519

Officer/Director/Trustee Five

MARGARET HORST
AT-LARGE
212 CALLUM PL
CARY NC 27519

Organization’s website
Organization’s email THRIVING@CPAMBERLY.NET
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/2/2017
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P80 - Services to Promote the Independence of Specific Populations
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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