| Field | Data |
|---|---|
| EIN | 83-4099608 |
| Case Number | EO-2019119-000378 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | PROSPERITY LANE COMMUNITY CARE OUTREACH |
| Organization’s Mailing Address | 106 OLD COACH LANE |
| City | MARSTON |
| State | NC |
| ZIP | 28363 |
| Accounting period End | 12 |
| Primary contact name | CRYSTAL TILLMAN |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
CRYSTAL TILLMAN
CHIEF EXECUTIVE OFFICER
106 OLD COACH LANE
MARSTON NC 28363
GARY TILLMAN
CHIEF FINANCIAL OFFICER
106 OLD COACH LANE
MARSTON NC 28363
ANTHONY KALLIE
BOARD MEMBER
6014 PINK DRIVE
MARSTON NC 28363
MICHELLE KALLIE
BOARD MEMBER
6014 PINK DRIVE
MARSTON NC 28363
NATASHA WALKER
BOARD MEMBER
210 SCOTLAND AVENUE
RAEFORD NC 28376
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 3/22/19 |
| Organization Incorporation State | NC |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | P50 - Personal Social Services |
| Organization’s purpose | Charitable: Yes Religious: No Educational: No 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 | No |
| Benefit of College | No |
| Private Foundation 508(e) | Yes |
| Seeking Retroactive Reinstatement | No |
| Seeking Section 7 Reinstatement | No |
| Correctness Declaration | Yes |
| Signature Name | CRYSTAL TILLMAN |
| Signature Title | CHIEF EXECUTIVE OFFICER |
| Signature Date | 4/26/19 |
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