FORM 1023-EZ for NEW GENESIS COMMUNITY OUREACH INC

Field Data
EIN 46-2184285
Case Number EO-2015124-000084
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name NEW GENESIS COMMUNITY OUREACH INC
Organization’s Mailing Address PO BOX 1226
City KNIGHTDALE
State NC
ZIP 27545-1226
Accounting period End 6
Primary contact name VANESSA STATON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

VANESSA STATON
PRESIDENT CEO
1510 ROARING RAPIDS ROAD
RALEIGH NC 27610-1580

Officer/Director/Trustee Two

DARREN STATON
CHIEF OPERATING OFFICER
PO BOX 777
PINETOPS NC 27864-9999

Officer/Director/Trustee Three

SCOEY LEWIS
BOARD CHAIRMAN
5599 HUBBARD DRIVE
BATTLEBORO NC 27809-9999

Officer/Director/Trustee Four

PATRICIA ARCHER
TREASURER
1904 BEVERLY ROAD
ROCKY MOUNT NC 27801-9999

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/27/2013
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: 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 Yes
Donation of funds Yes
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
Signature Title
Signature Date

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