FORM 1023-EZ for PROGRESSIVE TEAM WORKS OUTREACH

Field Data
EIN 16-1648131
Case Number EO-2019329-000620
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PROGRESSIVE TEAM WORKS OUTREACH
Organization’s Mailing Address 6521 RILEY HILL RD
City WENDELL
State NC
ZIP 27591
Accounting period End 12
Primary contact name HERBERT GRAY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JAMES MANGUM
TRUSTEE
6521 RILEY HILL RD
WENDELL NC 27591

Officer/Director/Trustee Two

SHEILA GRAY
SITE COORDINATOR
2705 MOTHER BEA CT
WENDELL NC 27591

Officer/Director/Trustee Three

HERBERT GRAY
PROGRAM COORDINATOR
2705 MOTHER BEA CT
WENDELL NC 27591

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/21/2003
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code K31 - Food Banks, Food Pantries
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 Yes
Correctness Declaration Yes
Signature Name HERBERT GRAY
Signature Title PROGRAM COORDINATOR
Signature Date 11/23/2019

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