FORM 1023-EZ for CROWNTOWN FRATERNAL ORDER OF LEATHERHEADS SOCIETY
| Field | Data |
|---|---|
| EIN | 46-0932119 |
| Case Number | EO-2016012-000028 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | CROWNTOWN FRATERNAL ORDER OF LEATHERHEADS SOCIETY |
| Organization’s Mailing Address | 2120 MILLER ROAD |
| City | CHINA GROVE |
| State | NC |
| ZIP | 28023 |
| Accounting period End | 12 |
| Primary contact name | RUSTY WATTS |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $400.00 |
Officer/Director/Trustee One
RUSTY WATTS
PRESIDENT
2120 MILLER ROAD
CHINA GROVE NC 28023
Officer/Director/Trustee Two
MIKE FENEIS
VICE PRESIDENT
3828 PARKERS FRY
FORT MILL SC 29715
Officer/Director/Trustee Three
ANTHONY PEREZ
TREASURER
2508 RIVER OAKS DRIVE
WAXHAW NC 28173
Officer/Director/Trustee Four
IAN CRANE
SECRETARY
522 CHURCH STREET
LOCUST NC 28097
Officer/Director/Trustee Five
MATTHEW WIATROWSKI
TRUSTEE OF EDUCATION
12172 OLD AQUADALE ROAD
NORWOOD NC 28128
| Organization’s website | WWW.CROWNTOWNFOOLS.COM |
|---|---|
| Organization’s email | CROWNTOWNFOOLS@YAHOO.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 11/4/2015 |
| Organization Incorporation State | NC |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | M03 - Professional Societies, Associations |
| Organization’s purpose | Charitable: Yes 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 | Yes |
| Conducting Activities Outside of United States | No |
| Financial transactions with officers | No |
| Unrelated Gross Income $1,000 or More | No |
| Gaming Activity | Yes |
| 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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