FORM 1023-EZ for ROXBORO-PERSON POLICE ATHLETIC & ACTIVITY LEAGUE

Field Data
EIN 82-1601135
Case Number EO-2019059-000371
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ROXBORO-PERSON POLICE ATHLETIC & ACTIVITY LEAGUE
Organization’s Mailing Address 109 LAMAR STREET
City ROXBORO
State NC
ZIP 27573
Accounting period End 6
Primary contact name TIMOTHY BOWES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DAVID HESS
EXECUTIVE DIRECTOR
109 LAMAR STREET
ROXBORO NC 27573

Officer/Director/Trustee Two

TIM BOWES
VICE PRESIDENT
175 PINE ROAD
HURDLE MILLS NC 27541

Officer/Director/Trustee Three

LOUISE OLIVER
SECRETARY
109 LAMAR STREET
ROXBORO NC 27573

Officer/Director/Trustee Four

RON PERKINS
TRESURER
109 LAMAR STREET
ROXBORO NC 27573

Officer/Director/Trustee Five

LIN CATES
LEGAL COUNSEL
109 LAMAR STREET
ROXBORO NC 27573

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/25/17
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
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 No
Correctness Declaration Yes
Signature Name TIM BOWES
Signature Title VICE PRESIDENT
Signature Date 2/26/19

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