FORM 1023-EZ for CAROLINA SLATE BELT CHAPTER GPAA

Field Data
EIN 47-5484234
Case Number EO-2016358-000124
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CAROLINA SLATE BELT CHAPTER GPAA
Organization’s Mailing Address 10327 NC HWY 211 E UNIT 1
City ABERDEEN
State NC
ZIP 28315-4705
Accounting period End 12
Primary contact name RALPH E NACE JR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RALPH E NACE JR
PRESIDENT
3039 GREENFIELD LANE
WALLACE SC 29596-8788

Officer/Director/Trustee Two

JOHNATHAN GREENE
VICE PRESIDENT
501 DEWEESE AVE
ROCKINGHAM NC 28379-2702

Officer/Director/Trustee Three

ROBERT WILLIAMSON
TREASURER
18 DEER TRACK RD
FOXFIRE VILLAGE NC 27281-9759

Officer/Director/Trustee Four

SUSAN WILLIAMSON
SECRETARY
18 DEER TRACK RD
FOXFIRE VILLAGE NC 27281-9759

Organization’s website CAROLINASLATEBELTCHAPTERGPAA.WEEBLY.COM
Organization’s email CAROLINASLATEBELT@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/21/2016
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N50 - Recreational, Pleasure, or Social Club
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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