FORM 1023-EZ for CHAPEL HILL COMMUNITY OUTREACH

Field Data
EIN 38-3934311
Case Number EO-2016095-000407
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CHAPEL HILL COMMUNITY OUTREACH
Organization’s Mailing Address 6308 BARBEE ROAD
City DURHAM
State NC
ZIP 27713
Accounting period End 12
Primary contact name MARK KLEINSCHMIDT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

WILLIS FARRINGTON
CHAIRMAN
6308 BARBEE ROAD
DURHAM NC 27713

Officer/Director/Trustee Two

REGINA MERRITT
VICE-CHAIRMAN
623 COUNCIL LANE
CHAPEL HILL NC 27516

Officer/Director/Trustee Three

EMILY BANKS
SECRETARY
107 KINGSBURY DRIVE
CHAPEL HILL NC 27516

Officer/Director/Trustee Four

DELORIS BYNUM
TREASURER
201 OLD SCHOOL ROAD
CARRBORO NC 27516

Officer/Director/Trustee Five

DELLA POLLOCK
DIRECTOR
701 TRINITY AVENUE
DURHAM NC 27701

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/18/2014
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S99 - Community Improvement, Capacity Building N.E.C.
Organization’s purpose Charitable: Yes
Religious: Yes
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 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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