FORM 1023-EZ for PILOT CLUB OF SOUTH BRUNSWICK ISLANDS INC

Field Data
EIN 56-1484188
Case Number EO-2015065-000295
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PILOT CLUB OF SOUTH BRUNSWICK ISLANDS INC
Organization’s Mailing Address PO BOX 3304
City SHALLOTTE
State NC
ZIP 28459
Accounting period End 6
Primary contact name SUE HOWELL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JAN BRITT
PRES.
186 SOUTHPORT SUPPLY RD
SUPPLY NC 28462

Officer/Director/Trustee Two

SUE HOWELL
SEC-TREASURER
135 VILLAGE RD
SHALLOTTE NC 28470

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/25/1986
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T50 - Philanthropy, Charity, Voluntarism Promotion, General
Organization’s purpose Charitable: Yes
Religious: No
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 No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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