North Carolina Department of State
Solicitation License Application Charitable Organization
Piedmont Rising, Inc.

Attachment 1

15. Has applicant received a federal tax exemption determination letter? Provide IRS ax
Exemption Code.

Piedmont Rising, Inc. is organized and operated as an organization eXempt from federal income
tax pursuant to Section 501(c)(4) of the Internal Revenue Code, as amended. As such, the
organization is not required to 'apply to the Internal Revenue Service for recognition of its
tax?exempt status, and may instead ?le a Notice of Intent to Operate Under Section 501(c)(4)
(Form 8976) with the IRS.

Piedmont Rising, Inc. ?led its Form 8976 with the IRS on July 26, 2019. The IRS con?rrned on
August 2, 2019 that" Piedmont Rising, Inc.?s Form 8976 was received; a copy of the 
con?rmation is included with this application.-

North Carolina Department of State 
Solicitation License Application Charitable Organization

Piedmont Rising, Inc.
Attachment 2

19. List the names and street addresses of directors, officers, trustees, and salaried executive
personnel for the current ?scal year.

Each individual listed below can be reached at the registrant?s principal address: 31 17 Poplarwood
Court, Suite 114, High Of?ce Park, Raleigh, NC 27604

 

Name. - - Title

 

 

 

 

 

 

Anna Kasibhatla President and Director
Sarah Gilchrist Frothingham Treasurer and Director
Casey Wilkinson Executive Director

 

North Carolina Department of State
Solicitation License Application Charitable Organization

Piedmont Rising, Inc.

Attachment 3

23. For newly established applicants with no ?nancial history, a proposed budget for the 

. current ?scal year including projected revenues and expenses must be submitted. 

 

Project FY2019 Budget"
Revenues 
Contributions: $10,000.00
Other revenues: $3,000,000.00
Total Support and Revenue: $3,010,000.00
Expenses

Program Services:
Management and General:
Fundraising:

Total Expenses:

Net revenue:_

$1,110,000.00
$200,000.00

. $150,000.00 

$1,460,000.00

$1,550,000.00 

 

*Projected FY2019 budget only; subject to change before December 31, 2019. 

Department of the Treasury
Internal Revenue Service
Tax Exempt and Government Entities

IRS PO. Box 2508, Room 4024
Cincinnati, OH 45021
Date: August 02, 2019

Person to Contact: Customer Services
Contact telephone number: 877-829-5500

Piedmont Rising, Inc.
600 Markham Ave
Durhan, North Carolina 27701

We received your Form 8976, Notice of Intent to Operate Under 501(c)(4), you ?led on July 26,
2019 This acknowledgement is not a determination by the IRS that you qualify as tax-exempt
under Internal Revenue Code (Code) Section 501(a) as an organization described in Code Section
501(c)(4).

Fo?r important information about your responsibilities, including recordkeeping, reporting, and
disclosure requirements, go to 

If you have questions, you can call Customer Services at 1-877-829-5500.

Letter 5822 (1 1-2016)
Catalog Number 68839V