| Field | Data |
|---|---|
| EIN | 47-2952491 |
| Case Number | EO-2015086-000312 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | NORTH CAROLINA COMMUNITY HEALTH LEADERSHIP ROUNDTABLE |
| Organization’s Mailing Address | 144 HEDGEROW |
| City | PITTSBORO |
| State | NC |
| ZIP | 27312 |
| Accounting period End | 12 |
| Primary contact name | MELVIN JACKSON |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $400.00 |
MELVIN JACKSON
DIRECTOR
144 HEDGEROW
PITTSBORO NC 27312
ALAN RICHMOND
DIRECTOR
4012 GRAND MANOR COURT
RALEIGH NC 27612
MARCIA CONNORS
DIRECTOR
00000
JACKSONVILLE NC 00000
DENISE BELL
DIRECTOR
00000
ROANOKE RAPIDS NC 00000
SHARON BYNUM
DIRECTOR
000
DURHAM NC 00000
| Organization’s website | HTTP://NCROUNDTABLE.ORG/ |
|---|---|
| Organization’s email | NCHEALTHROUNDTABLE@YAHOO.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 11/7/2014 |
| Organization Incorporation State | NC |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | S99 - Community Improvement, Capacity Building N.E.C. |
| 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 | 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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