FORM 1023-EZ for QUEEN CITY UNITY INC

Field Data
EIN 82-0677968
Case Number EO-2017258-000365
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name QUEEN CITY UNITY INC
Organization’s Mailing Address 12330 STRATFIELD PLACE CIRCLE
City PINEVILLE
State NC
ZIP 28134
Accounting period End 4
Primary contact name JORGE MILLARES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JORGE MILLARES
PRESIDENT
12330 STRATFIELD PLACE CIRCLE
PINEVILLE NC 28134

Officer/Director/Trustee Two

JAMAL HARVEY
TREASURER
6630 ROSE POINT LANE
CHARLOTTE NC 28216

Officer/Director/Trustee Three

JENSEN NICHOL
VICE PRESIDENT
12330 STRATFIELD PLACE CIRCLE
PINEVILLE NC 28134

Officer/Director/Trustee Four

WHITNEY HAM
SECRETARY
3001 WEST CUMMINGS ROAD
EFFINGMAN SC 29541

Officer/Director/Trustee Five

BRANDON MILLER
MEMBER
5217 GALWAY DRIVE
CHARLOTTE NC 28215

Organization’s website QUEENCITYUNITY.ORG
Organization’s email INFO@QUEENCITYUNITY.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/13/2017
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A23 - Cultural, Ethnic Awareness
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 No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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