FORM 1023-EZ for THE NORTH CAROLINA POLYGRAPH ASSOCIATION
| Field | Data |
|---|---|
| EIN | 83-0876290 |
| Case Number | EO-2019238-000450 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | THE NORTH CAROLINA POLYGRAPH ASSOCIATION |
| Organization’s Mailing Address | 750 WEST IREDELL AVENUE |
| City | MOORESVILLE |
| State | NC |
| ZIP | 28115 |
| Accounting period End | 12 |
| Primary contact name | JOHN VANDERBILT |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
AMANDA NOSALEK
PRESIDENT
5994 CALDWELL PARK DRIVE
HARRISBURG NC 28075
Officer/Director/Trustee Two
KEVIN GREGSON
VICE-PRESIDENT
6716 SIX FORKS ROAD
RALEIGH NC 27615
Officer/Director/Trustee Three
JOHN VANDERBILT
SECRETARY & TREASURER
750 WEST IREDELL AVENUE
MOORESVILLE NC 28115
Officer/Director/Trustee Four
DUSTIN NOWATKA
CHAIRMAN
347 2ND AVENUE
HICKORY NC 28602
| Organization’s website | NORTHCAROLINAPOLYGRAPHASSOCIATION.ORG |
|---|---|
| Organization’s email | NCPOLYGRAPHASSOCSECRETARY@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 8/12/19 |
| Organization Incorporation State | NC |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | B03 - 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 | Yes |
| Gaming Activity | No |
| Disaster relief assistance | No |
| One Third Support Public | No |
| One Third Support Gifts | No |
| Benefit of College | No |
| Private Foundation 508(e) | Yes |
| Seeking Retroactive Reinstatement | No |
| Seeking Section 7 Reinstatement | No |
| Correctness Declaration | Yes |
| Signature Name | JOHN VANDERBILT |
| Signature Title | SECRETARY & TREASURER |
| Signature Date | 8/22/19 |
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