FORM 1023-EZ for PILLOW-PACK

Field Data
EIN 81-4314056
Case Number EO-2017009-000501
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PILLOW-PACK
Organization’s Mailing Address 6521 PULLEY TOWN ROAD
City WAKE FOREST
State NC
ZIP 27587-6909
Accounting period End 12
Primary contact name CAROL RIDDLE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CAROL RIDDLE
PRESIDENT
6521 PULLEY TOWN ROAD
WAKE FOREST NC 27587-6909

Officer/Director/Trustee Two

JAMES PULLEY
VICE PRESIDENT
6510 PULLEY TOWN ROAD
WAKE FOREST NC 27587-6909

Officer/Director/Trustee Three

TESSA EGAN
TREASURER
738 ARNOLD ROAD
LOUISBURG NC 27549-6105

Officer/Director/Trustee Four

LESLIE WILSON
SECRETARY
3021 PEEBLES ROAD
RALEIGH NC 27616-8543

Officer/Director/Trustee Five

LEWIS PLEASANTS
VETERAN REPRESENTATIVE
2545 MOXLEY ROAD
BOONVILLE NC 27011-8927

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/1/2016
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W99 - Public, Society Benefit - Multipurpose and Other N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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
Signature Title
Signature Date

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