FORM 1023-EZ for WAKE FOREST COMMUNITY ACTION CLUB

Field Data
EIN 54-1594293
Case Number EO-2019193-000163
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name WAKE FOREST COMMUNITY ACTION CLUB
Organization’s Mailing Address 2039 WAKE FOREST ROAD SUITE 101
City BLACKSBURG
State VA
ZIP 24060-911
Accounting period End 12
Primary contact name HOWARD EAVES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

HOWARD EAVES
PRESIDENT
2039 BANNISTER LANE
BLACKSBURG VA 24060-911

Officer/Director/Trustee Two

HOWARD JONES
FINANCIAL SECRETARY/TREASURER
2059 BANNISTER LANE
BLACKSBURG VA 24060-911

Officer/Director/Trustee Three

JESSIE EAVES
RECORDING SECRETARY
401 JACKSON STREET
BLACKSBURG VA 24060-911

Officer/Director/Trustee Four

SIDRA JONES
VICE PRESIDENT
2059 BANNISTER LANE
BLACKSBURG VA 24060-911

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/1/75
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S20 - Community, Neighborhood Development, Improvement (General)
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 HOWARD EAVES
Signature Title PRESIDENT
Signature Date 7/10/19

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