FORM 1023-EZ for SAFE KIDS STANLY COUNTY

Field Data
EIN 82-3008543
Case Number EO-2017293-000216
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SAFE KIDS STANLY COUNTY
Organization’s Mailing Address PO BOX 2264
City ALBEMARLE
State NC
ZIP 28002
Accounting period End 12
Primary contact name TAMMY ALBERTSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ADAM PALMER
CHAIRMAN
36042-A NC 740 HWY
ALBEMARLE NC 28001

Officer/Director/Trustee Two

TAMMY ALBERTSON
TREASURER/SECRETARY
34453 LISA DRIVE
ALBEMARLE NC 28001

Officer/Director/Trustee Three

OLIVER WEBSTER
BOARD MEMBER
425 BISCOE ROAD
TROY NC 27371

Officer/Director/Trustee Four

SHERRI HOYLE
BOARD MEMBER
455 GADDY FARM ROAD
MOUNT GILEAD NC 27306

Officer/Director/Trustee Five

DEBBIE BENNETT
BOARD MEMBER
34313 SPRINGDALE DRIVE
NEW LONDON NC 28127

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/19/2017
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code M40 - Safety Education
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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 Yes
One Third Support Gifts No
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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