FORM 1023-EZ for LAKE GASTON SHAGA CLUB

Field Data
EIN 82-3257481
Case Number EO-2020154-000077
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LAKE GASTON SHAGA CLUB
Organization’s Mailing Address 117 BEECH COURT
City LITTLETON
State NC
ZIP 27850
Accounting period End 12
Primary contact name LOIS KRYSA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LOIS KRYSA
TREASURER
117 BEECH COURT
LITTLETON NC 27850

Officer/Director/Trustee Two

SUSAN ZIMMERMAN
SECRETARY
151 WILKINS COURT DRIVE
HENRICO NC 27842

Officer/Director/Trustee Three

DAVID ZIMMERMAN
VICE PRESIDENT
151 WILKINS COURT DRIVE
HENRICO NC 27842

Officer/Director/Trustee Four

JANICE HALEY
PRESIDENT
256 JOHN NEWSOME DRIVE
LITTLETON NC 27850

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/5/2017
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code K31 - Food Banks, Food Pantries
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 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 LOIS KRYSA
Signature Title TREASURER
Signature Date 5/31/2020

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