FORM 1023-EZ for ELIZABETHS A NORTH CAROLINA NON PROFIT

Field Data
EIN 85-0867489
Case Number EO-2020199-000128
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ELIZABETHS A NORTH CAROLINA NON PROFIT
Organization’s Mailing Address 104 AUGUSTUS LANE
City MOUNT HOLLY
State NC
ZIP 28120
Accounting period End 12
Primary contact name NYX OLDS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NYX OLDS

104 AUGUSTUS LANE
MOUNT HOLLY NC 28120

Officer/Director/Trustee Two

RASHEEKA FORBES
TREASURER OR CHIEF FINANCIAL OFFICE
2004 MALLARD WOODS PLACE
CHARLOTTE NC 28262

Officer/Director/Trustee Three

KALIYAH OLDS
CHAIRPERSON OF THE GOVERNING BODY
104 AUGUSTUS LANE
MOUNT HOLLY NC 28120

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/12/2020
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code L41 - Homeless, Temporary Shelter For
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 Yes
Donation of funds Yes
Conducting Activities Outside of United States Yes
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance Yes
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 NYX OLDS
Signature Title
Signature Date 7/15/2020

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