FORM 1023-EZ for FAMILY MANKIND INC

Field Data
EIN 83-3886078
Case Number EO-2019084-000665
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FAMILY MANKIND INC
Organization’s Mailing Address 301 MCCULLOUGH DR 400
City CHARLOTTE
State NC
ZIP 28262
Accounting period End 12
Primary contact name C MARIA MACON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

A W BURGESS
PRESIDENT
301 MCCULLOUGH DR 400
CHARLOTTE NC 28262

Officer/Director/Trustee Two

DUNCAN ANDERSON
SECRETARY
11509 WATERMOSS LANE
CHARLOTTE NC 28262

Officer/Director/Trustee Three

BRAD JOHNSON
TREASURER
8013 WHITEHAWK HILL RD
CHARLOTTE NC 28273

Officer/Director/Trustee Four

JERRY TIMMONS
DIRECTOR
3411 ASHLEY VIEW DR
CHARLOTTE NC 28213

Officer/Director/Trustee Five

ALONZO DAVENPORT
DIRECTOR
4212 HAMILTON AVE
BALTIMORE MD 21206

Organization’s website WWW.FAMILYMANKIND.ORG
Organization’s email AWOLF@FAMILYMANKIND.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/20/19
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code I40 - Rehabilitation Services for Offenders
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 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 A W BURGESS
Signature Title PRESIDENT
Signature Date 3/23/19

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