FORM 1023-EZ for AVID VIGOR

Field Data
EIN 83-1314764
Case Number EO-2019070-000248
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name AVID VIGOR
Organization’s Mailing Address 345 CALICO BAY RD
City TEACHEY
State NC
ZIP 28464-9573
Accounting period End 1
Primary contact name DWAYNE WELLS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DWAYNE WELLS
PRESIDENT
345 CALICO BAY RD
TEACHEY NC 28464

Officer/Director/Trustee Two

BREONA HARRIS
SECRETARY
402 WIGWAM LANE
CHINQUAPIN NC 28521

Officer/Director/Trustee Three

DWAYNE WELLS
PRESIDENT
345 CALICO BAY RD
TEACHEY NC 28464-9573

Officer/Director/Trustee Four

DWAYNE WELLS
PRESIDENT
345 CALICO BAY RD
TEACHEY NC 28464-9573

Officer/Director/Trustee Five

DWAYNE WELLS
PRESIDENT
345 CALICO BAY RD
TEACHEY NC 28464-9573

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/20/18
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: No
Religious: Yes
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 DWAYNE WELLS
Signature Title PRESIDENT
Signature Date 3/8/19

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