FORM 1023-EZ for FD MA OF NC EASTERN DISTRICT

Field Data
EIN 81-3871734
Case Number EO-2016312-000356
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FD MA OF NC EASTERN DISTRICT
Organization’s Mailing Address PO BOX 128
City SCOTLAND NECK
State NC
ZIP 27874
Accounting period End 6
Primary contact name REGINA WILLOUGHBY LANGLEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ERIC WILLOUGHBY
PRESIDENT
PO BOX 381
FOUNTAIN NC 27829

Officer/Director/Trustee Two

LINDA TUCKER GOODING
VICE PRESIDENT
4475 EDGE ROAD
AYDEN NC 28513

Officer/Director/Trustee Three

CRYSTAL MATTHEWS POWELL
SECRETARY
208 HUNTER BLVD
TARBORO NC 27886

Officer/Director/Trustee Four

REGINA WILLOUGHBY LANGLEY
TREASURER
1005 E NORTHERN BLVD
TARBORO NC 27886

Officer/Director/Trustee Five

ERNEST PERKINS
SARGENT AT ARMS
PO BO 808
BETHEL NC 27812

Organization’s website
Organization’s email EDFDMA@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/10/2015
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Y03 - Professional Societies, Associations
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
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 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
Signature Title
Signature Date

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