FORM 1023-EZ for THE CORY HOLT FOUNDATION

Field Data
EIN 84-1940826
Case Number EO-2021092-000932
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE CORY HOLT FOUNDATION
Organization’s Mailing Address 1109 STAFFORD PLACE CIRCLE APT 301
City WINSTON-SALEM
State NC
ZIP 27127
Accounting period End 12
Primary contact name CORY HOLT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CORY HOLT
PRESIDENT
1109 STAFFORD PLACE CIRCLE APT 301
WINSTON-SALEM NC 27127

Officer/Director/Trustee Two

LAURA FULLER
TREASURER
1109 STAFFORD PLACE CIRCLE APT 301
WINSTON-SALEM NC 27127

Officer/Director/Trustee Three

LETESHIA HOLT
SECRETARY
1109 STAFFORD PLACE CIRCLE APT 301
WINSTON-SALEM NC 27127

Organization’s website
Organization’s email CORYLHOLT@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/5/2018
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P99 - Human Services - Multipurpose and Other N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 CORY HOLT
Signature Title PRESIDENT
Signature Date 2/26/2021

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