FORM 1023-EZ for WAKE COUNTY WILDLIFE CLUB FOUNDATION

Field Data
EIN 82-2320352
Case Number EO-2017299-000288
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name WAKE COUNTY WILDLIFE CLUB FOUNDATION
Organization’s Mailing Address PO BOX 6048
City RALEIGH
State NC
ZIP 27628
Accounting period End 12
Primary contact name BAILEY WILLIAMS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOHN R ANDERSON JR
PRESIDENT/DIRECTOR
1031 HARVEY STREET
RALEIGH NC 27608

Officer/Director/Trustee Two

MAX GREENE
TREASURER/DIRECTOR
PO BOX 97726
RALEIGH NC 27624

Officer/Director/Trustee Three

BARRY BOWLING
SECRETARY/DIRECTOR
11801 CANONERO PLACE
RALEIGH NC 27613

Officer/Director/Trustee Four

JAY ADCOCK
DIRECTOR
2321 N MAIN STREET
FUQUAY VARINA NC 27526

Officer/Director/Trustee Five

ALLEN BASALA
DIRECTOR
1419 BRUNSON COURT
CARY NC 27511

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/5/2017
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D30 - Wildlife Preservation, Protection
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 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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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