FORM 1023-EZ for SAMPSON-DUPLIN FAMILY FOUNDATION INC
| Field | Data |
|---|---|
| EIN | 84-3778769 |
| Case Number | EO-2019329-000597 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | SAMPSON-DUPLIN FAMILY FOUNDATION INC |
| Organization’s Mailing Address | 1224 NORWOOD STREET |
| City | WALLACE |
| State | NC |
| ZIP | 28466 |
| Accounting period End | 8 |
| Primary contact name | KATRINA HOLLOWAY |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
JERRIS MCPHAIL
MEMBER
1224 NORWOOD STREET
WALLACE NC 28466
Officer/Director/Trustee Two
MIKE JAMES
MEMBER
149 BEASLEYS RD
MAGNOLIA NC 28453
Officer/Director/Trustee Three
DAVID WILLIAMS
MEMBER
P O BOX 1569
CLINTON NC 28329
Officer/Director/Trustee Four
SULNORA OLUYEMI
MEMBER
P O BOX 812
KENANSVILLE NC 28349
Officer/Director/Trustee Five
MAGGIE WILLIAMS
MEMBER
109 DROX LANE
CLINTON NC 28328
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 8/13/19 |
| 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: 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 | 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 | JERRIS MCPHAIL |
| Signature Title | MEMBER |
| Signature Date | 11/22/19 |
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