FORM 1023-EZ for MAKING A DIFFERENCE OUTREACH PROGRAM

Field Data
EIN 27-2954076
Case Number EO-2016343-000289
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MAKING A DIFFERENCE OUTREACH PROGRAM
Organization’s Mailing Address 1281 BISCAYNE DRIVE
City CONCORD
State NC
ZIP 28027
Accounting period End 12
Primary contact name GARY WITHERS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TOMMY STEELE
OFFICER
574 AMBERGATE PLACE
CONCORD NC 28027

Officer/Director/Trustee Two

GARY WITHERS
TRUSTEE
340 CHESAPEAKE DRIVE
SALISBURY NC 28147

Officer/Director/Trustee Three

MATTHEW JACOBS
TRUSTEE
2301 CONCORD FARM RD
CONCORD NC 28027

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/27/2015
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S20 - Community, Neighborhood Development, Improvement (General)
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
Signature Title
Signature Date

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