FORM 1023-EZ for ESSIE MAE KISER FOXX CHARTER SCHOOL

Field Data
EIN 81-3424612
Case Number EO-2017117-000353
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ESSIE MAE KISER FOXX CHARTER SCHOOL
Organization’s Mailing Address 120 EAST INNES STREET
City SALISBURY
State NC
ZIP 28144
Accounting period End 12
Primary contact name NANCY J LUND
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TINA WALLACE
CHAIR
1914 CHANTILLY LANE
SALISBURY NC 28146

Officer/Director/Trustee Two

LAWRENCE BOLEN
VICE CHAIR
809 4TH STREET
SPENCER NC 28159

Officer/Director/Trustee Three

NANCY LUND
SECRETARY
419 EASTWOOD DRIVE
SALISBURY NC 28146

Officer/Director/Trustee Four

RUBY STEELE
TREASURER
1016 N SALISBURY AVE
SPENCER NC 28159

Officer/Director/Trustee Five

WHITNEY PECKMAN
BOARD OF DIRECTORS
120 EAST INNES ST
SALISBURY NC 28144

Organization’s website
Organization’s email ESSIESSCHOOL@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/5/2016
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B24 - Primary, Elementary Schools
Organization’s purpose Charitable: No
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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