FORM 1023-EZ for ROYAL OAK CONCERNED CITZENS ASSOCIATION

Field Data
EIN 42-1677195
Case Number EO-2017108-000134
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ROYAL OAK CONCERNED CITZENS ASSOCIATION
Organization’s Mailing Address PO BOX 1036
City SUPPLY
State NC
ZIP 28462
Accounting period End 12
Primary contact name LEWIS DOZIER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LEWIS DOZIER
PRESIDENT
PO BOX 50
SUPPLY NC 28462

Officer/Director/Trustee Two

BARBARA CAISON
TREASURER
PO BOX 185
SUPPLY NC 28462

Officer/Director/Trustee Three

JOHN HANKINS
VICE-PRESIDENT
315 BIG MACEDONIA ROAD NW
SUPPLY NC 28462

Officer/Director/Trustee Four

ESTHER SIDBERRY
SECRETARY
325 RANDOLPHVILLE RD
BOLIVIA NC 28462

Officer/Director/Trustee Five

HAZEL WILLIAMS
FINANCIAL SECRETARY
110 BIG MACEDONIA RD NW
SUPPLY NC 28462

Organization’s website
Organization’s email ROCCANC@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/8/2017
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 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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