FORM 1023-EZ for THE DAVIS ARTIST EMPOWERMENT INSTITUTE

Field Data
EIN 86-1528521
Case Number EO-2021097-001014
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE DAVIS ARTIST EMPOWERMENT INSTITUTE
Organization’s Mailing Address 118 HINES DRIVE
City FOUR OAKS
State NC
ZIP 27524
Accounting period End 12
Primary contact name CHERYL DAVIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHERYL DAVIS
PRESIDENT
118 HINES DRIVE
FOUR OAKS NC 27524

Officer/Director/Trustee Two

LAWANDA WILLIAMS
TREASURER
484 MASSENGILL FARM ROAD
BENSON NC 27504

Officer/Director/Trustee Three

CAROLYN HARDING
SECRETARY
3509 EASTERN BRANCH ROAD
RALEIGH NC 27610-2483

Officer/Director/Trustee Four

SHERRILL WILLIAMS
VICE PRESIDENT
75 MARLER ROAD
BENSON NC 27504

Officer/Director/Trustee Five

MICHELLE HARTS
BOARD MEMBER
1673 EXTINE LANE
RALEIGH NC 27610

Organization’s website N/A
Organization’s email CHERYLADAVIS73@ICLOUD.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/19/2021
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A20 - Arts, Cultural Organizations - Multipurpose
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 Yes
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 CHERYL DAVIS
Signature Title PRESIDENT
Signature Date 3/17/2021

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