FORM 1023-EZ for NORTHEAST NORTH CAROLINA BLUE LINECHARITIES

Field Data
EIN 47-1499265
Case Number EO-2015007-000330
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name NORTHEAST NORTH CAROLINA BLUE LINECHARITIES
Organization’s Mailing Address PO BOX 344
City ELIZABETH CITY
State NC
ZIP 27909-0344
Accounting period End 12
Primary contact name GENE WYMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MICHAEL RICHOLD
PRESIDENT
405 E BURGESS
ELIZABETH CITY NC 27909

Officer/Director/Trustee Two

NORMAN WATTS
VICE PRESIDENT
893 HERESEY SAWYER RD
ELIZABETH CITY NC 27909

Officer/Director/Trustee Three

GENE WYMAN
TREASURER
107 DORIS DR
ELIZABETH CITY NC 27909-7889

Officer/Director/Trustee Four

AUDRA HOLSAPPLE
SECRETARY
735 DILLIARD MILL RD
ELIZABETH CITY NC 27909

Organization’s website
Organization’s email NENCBLUE@HOTMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/13/2014
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W99 - Public, Society Benefit - Multipurpose and Other N.E.C.
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
Signature Title
Signature Date

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