FORM 1023-EZ for CHERRYVILLE COMMUNITY REVIVAL INC

Field Data
EIN 30-0877864
Case Number EO-2015222-000235
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CHERRYVILLE COMMUNITY REVIVAL INC
Organization’s Mailing Address PO BOX 791
City CHERRYVILLE
State NC
ZIP 28021
Accounting period End 12
Primary contact name LINDA ROSS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

TERRY MOSS
PRESIDENT
3397 FLAY SAIN ROAD
CHERRYVILLE NC 28021

Officer/Director/Trustee Two

EDWARD BEAM
VICE-PRESIDENT
1007 NORTH MOUNTAIN
CHERRYVILLE NC 28021

Officer/Director/Trustee Three

TONY ABERNATHY
TREASURER
612 JESS HORD ROAD
CHERRYVILLE NC 28021

Officer/Director/Trustee Four

TAMMY CAMPBELL
SECRETARY
421 PAUL H BEAM
CHERRYVILLE NC 28021

Officer/Director/Trustee Five

ALVIN MCSWAIN JR
DIRECTOR OF FINANCE
124 BLACK ROAD
CHERRYVILLE NC 28021

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/13/2015
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: No
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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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