FORM 1023-EZ for BACK TO THE FAMILY

Field Data
EIN 82-3581150
Case Number EO-2017258-000035
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BACK TO THE FAMILY
Organization’s Mailing Address 3917 GREEN PASTURE ROAD
City CHARLOTTE
State NC
ZIP 28217-0689
Accounting period End 7
Primary contact name CARLOS JOHNSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CARLOS JOHNSON
EXECUTIVE DIRECTOR
3917 GREEN PASTURE ROAD
CHARLOTTE NC 28217-0689

Officer/Director/Trustee Two

MELISSA JOHNSON
BOARD CHAIRPERSON
3917 GREEN PASTURE ROAD
CHARLOTTE NC 28217-0689

Officer/Director/Trustee Three

ARNOLD BRANDON
BOARD MEMBER
7804 TAYMOUTH LANE
CHARLOTTE NC 28269-9129

Officer/Director/Trustee Four

BERNICE BRANDON
BOARD SECRETARY
7804 TAYMOUTH LANE
CHARLOTTE NC 28269-9129

Officer/Director/Trustee Five

CHRIS MARTIN
BOARD TREASURER
1225 JOHN AUSTIN COURT
KERNERSVILLE NC 27284-3764

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/14/2017
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P40 - Family Services
Organization’s purpose Charitable: Yes
Religious: Yes
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 Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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