FORM 1023-EZ for COMMUNITY ENGAGEMENT SERVICES AND INTERVENTION

Field Data
EIN 85-3729491
Case Number EO-2020311-000215
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name COMMUNITY ENGAGEMENT SERVICES AND INTERVENTION
Organization’s Mailing Address 4201 BITTERNUT TRAIL
City GREENSBORO
State NC
ZIP 27410
Accounting period End 12
Primary contact name MICHAEL MCKINNEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHAEL MCKINNEY
PRESIDENT/CEO
4201 BITTERNUT TRAIL
GREENSBORO NC 27410

Officer/Director/Trustee Two

DARRELL WEBB
DIRECTOR AND TREASURER
804 BELLEVUE ST
GREENSBORO NC 27406

Officer/Director/Trustee Three

LINDA MUSGRAVE
DIRECTOR
200 SERENITY DRIVE
GOLDSBORO NC 27530

Officer/Director/Trustee Four

KEITH BOWSER JUNIOR
DIRECTOR
10331 TISBURY ROAD
CHARLOTTE NC 28216

Officer/Director/Trustee Five

JORDYN MCKINNEY
DIRECTOR AND SECRETARY
4201 BITTERNUT TRAIL
GREENSBORO NC 27410

Organization’s website N/A
Organization’s email MMCKINNEY63@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/30/2020
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T50 - Philanthropy, Charity, Voluntarism Promotion, General
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
Scientific: Yes
Literary: Yes
Public Safety: Yes
Amateur Sports: Yes
Cruelty Prevention: Yes
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee Yes
Donation of funds Yes
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 Yes
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 MICHAEL MCKINNEY
Signature Title PRESIDENT/CEO
Signature Date 11/4/2020

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