FORM 1023-EZ for UNION COUNTY KIDS

Field Data
EIN 47-3747390
Case Number EO-2015146-000193
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name UNION COUNTY KIDS
Organization’s Mailing Address 386 E ROOSEVELT BLVD
City MONROE
State NC
ZIP 28112
Accounting period End 12
Primary contact name SELINA CAMPBELL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

SELINA CAMPBELL
PRESIDENT
1304 G SOUTH HAYNE ST
MONROE NC 28112

Officer/Director/Trustee Two

PHILLIP STAFFORD
TREASURER
2214 S 83RD AVENUE
TOLLESON AZ 85353

Officer/Director/Trustee Three

JUANITA STAFFORD
VICE PRESIDENT
2214 S 83RD AVENUE
TOLLESON AZ 85353

Officer/Director/Trustee Four

KATRINA COOPER
SECRETARY
810 LAKEVIEW DR
MARSHVILLE NC 28103

Officer/Director/Trustee Five

LAVONYA WILLIAMS
MEMBER
600 BRANCH ST
MONROE NC 28110

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/22/2015
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B21 - Kindergarten, Preschool, Nursery School, Early Admissions
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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