FORM 1023-EZ for SGT MARK P ADAMS FOUNDATION

Field Data
EIN 20-5925901
Case Number EO-2016083-000501
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SGT MARK P ADAMS FOUNDATION
Organization’s Mailing Address 110 MARCOM DRIVE
City MORRISVILLE
State NC
ZIP 27560-9483
Accounting period End 12
Primary contact name PHILLIP ADAMS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

PHILLIP ADAMS
EXECUTIVE DIRECTOR
110 MARCOM DRIVE
MORRISVILLE NC 27560-9483

Officer/Director/Trustee Two

SHARAN ADAMS
TREASURER
110 MARCOM DRIVE
MORRISVILLE NC 27560-9483

Officer/Director/Trustee Three

GARY WATKINS
CHAIRMAN
1908 ASHVIEW DRIVE
FUQUAY-VARINA NC 27526-7174

Officer/Director/Trustee Four

AL SARTIN
BOARD MEMBER
9347 FALKWOOD DRIVE
RALEIGH NC 27617-8642

Officer/Director/Trustee Five

DONALD WATKINS
BOARD MEMBER
2467 BAPTIST GROVE ROAD
FUQUAY-VARINA NC 27526-7174

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/10/2007
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X20 - Christian
Organization’s purpose Charitable: Yes
Religious: Yes
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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