FORM 1023-EZ for WEST SIDE CLT

Field Data
EIN 82-1143067
Case Number EO-2017103-000294
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name WEST SIDE CLT
Organization’s Mailing Address 2910 PARKWAY AVE
City CHARLOTTE
State NC
ZIP 28208
Accounting period End 12
Primary contact name GREG JARRELL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

GREG JARRELL
VICE CHAIR
2910 PARKWAY AVENUE
CHARLOTTE NC 28208

Officer/Director/Trustee Two

HELMS JARRELL
CLERK
2910 PARKWAY AVE
CHARLOTTE NC 28208

Officer/Director/Trustee Three

FRANK BYERS
CHAIR
2900 TUCKASEEGEE RD APT 1
CHARLOTTE NC 28208

Officer/Director/Trustee Four

PERNEICE MENDEZ
TREASURER
3937 BARLOWE ROAD
CHARLOTTE NC 28208

Officer/Director/Trustee Five

STEPHEN VALDER
DIRECTOR
1621 ALLEN ST
CHARLOTTE NC 28205

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/16/2017
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code L20 - Housing Development, Construction, Management
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 Yes
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
Signature Title
Signature Date

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