FORM 1023-EZ for CREATIVE MOTIVATIONS INCORPORATED

Field Data
EIN 85-1316689
Case Number EO-2020177-000313
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CREATIVE MOTIVATIONS INCORPORATED
Organization’s Mailing Address 201 NORTH MURROW BLVD UNIT 2584
City GREENSBORO
State NC
ZIP 27402
Accounting period End 12
Primary contact name WILBERT CASTERLOW JR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

WILBERT CASTERLOW JR
PRESIDENT
1592 CANDACE RIDGE
GREENSBORO NC 27406-8595

Officer/Director/Trustee Two

DR KEOTIA JACKSON
VICE PRESIDENT
1592 CANDACE RIDGE
GREENSBORO NC 27406-8595

Officer/Director/Trustee Three

LIA SMITHERMAN
SECRETARY
694 WINNERS CIRCLE
WHITSETT NC 27377-8763

Officer/Director/Trustee Four

SAMUEL CASTERLOW
TREASURE
4303 GREEN POINT DR
GREENSBORO NC 27407-3144

Officer/Director/Trustee Five

ANGELA MCNAIR
BOARD MEMBER
3012 CHARLIE COURT
TEMPLE HILLS MD 20748-1622

Organization’s website
Organization’s email CODEBLUE@TRIADPCCLINIC.NET
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/2/2020
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
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 WILBERT CASTERLOW JR
Signature Title PRESIDENT
Signature Date 6/16/2020

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