FORM 1023-EZ for COMMUNITY INDUSTRY VALUE INTERACTIONIST LEAGUE

Field Data
EIN 46-2743202
Case Number EO-2015026-000379
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name COMMUNITY INDUSTRY VALUE INTERACTIONIST LEAGUE
Organization’s Mailing Address 1085 APT 3 CHEYENNE CT
City GREENVILLE
State NC
ZIP 27858
Accounting period End 12
Primary contact name JERMAINE MCNAIR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JERMAINE MCNAIR
PRESIDENT
1085 APARTMENT 3 CHEYENNE COURT
GREENVILLE NC 27858

Officer/Director/Trustee Two

TROIN ARTIS
SECRECTARY
1124 WEST HILLS CT
MORRISVILLE NC 27560

Officer/Director/Trustee Three

TAMEKA LITTLE
TREASURER
540 APT 10 BRIGHTON PARK DR
GREENVILLE NC 27834

Organization’s website WWW.NCCIVIL.ORG
Organization’s email MRJMCNAIR@NCCIVIL.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/5/2013
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
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 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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