FORM 1023-EZ for INSP I HER

Field Data
EIN 83-1004611
Case Number EO-2018186-000275
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name INSP I HER
Organization’s Mailing Address 4618 CARVING TREE DRIVE
City MINT HILL
State NC
ZIP 28227
Accounting period End 12
Primary contact name ANISSA SURRATT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANISSA SURRATT
DIRECTOR
4618 CARVING TREE DRIVE
MINT HILL NC 28227

Officer/Director/Trustee Two

MICHELLE GIVENS-JOHNSON
DIRECTOR
4618 CARVING TREE DRIVE
MINT HILL NC 28227

Officer/Director/Trustee Three

BROOKE DAVIDSON
DIRECTOR
4618 CARVING TREE DRIVE
MINT HILL NC 28227

Officer/Director/Trustee Four

MARGARET SANDERSON
DIRECTOR
4618 CARVING TREE DRIVE
MINT HILL NC 28227

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/26/18
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
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 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 ANISSA SURRATT
Signature Title DIRECTOR
Signature Date 7/2/18

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