FORM 1023-EZ for EPIC CASWELL INC

Field Data
EIN 81-0862155
Case Number EO-2016036-000228
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name EPIC CASWELL INC
Organization’s Mailing Address 1220 MARSHALL GRAVES ROAD
City YANCEYVILLE
State NC
ZIP 27379
Accounting period End 12
Primary contact name NATE HALL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

NATHANIEL HALL
CHAIRMAN/TREASURER/DIRECTOR
1220 MARSHALL GRAVES ROAD
YANCEYVILLE NC 27379

Officer/Director/Trustee Two

LACHEATA HALL
SECRETARY/DIRECTOR
1220 MARSHALL GRAVES ROAD
YANCEYVILLE NC 27379

Officer/Director/Trustee Three

JESSICA KING-STAMPS
DIRECTOR
177 SLADE COURT
PROVIDENCE NC 27315

Officer/Director/Trustee Four

MEAGAN DAYE
DIRECTOR
1412 ADAMS FARMS PARKWAY
GREENSBORO NC 27407

Officer/Director/Trustee Five

MORGAN DAYE
DIRECTOR
1412 ADAMS FARM PARKWAY
GREENSBORO NC 27407

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/20/2016
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S20 - Community, Neighborhood Development, Improvement (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 Yes
Donation of funds No
Conducting Activities Outside of United States No
Financial transactions with officers Yes
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 No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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