FORM 1023-EZ for SPIRIT CANOE LODGE CORPORATION

Field Data
EIN 83-0872535
Case Number EO-2019094-000272
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SPIRIT CANOE LODGE CORPORATION
Organization’s Mailing Address 1610 WEST MILL CREEK ROAD
City WARRENSVILLE
State NC
ZIP 28693
Accounting period End 12
Primary contact name KELLY CLAMPITT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SYBIL HARMON
VICE CHAIR
15354
CRESTON NC 28615

Officer/Director/Trustee Two

BROOKE WALKER
OPERATIONS MANAGER
1610 WEST MILL CREEK ROAD
WARRENSVILLE NC 28693

Officer/Director/Trustee Three

COURTNEY STILES
TREASURER
34 OLD STAGECOACH ROAD
SWANNANOA NC 28778

Officer/Director/Trustee Four

MICKI NYMAN
SECRETARY
1109 NORWOOD STREET
FAYETTEVILLE NC 28305

Officer/Director/Trustee Five

KELLY CLAMPITT
CHAIRMAN
1610 WMILL CREEK ROAD
WARRENSVILLE NC 28693

Organization’s website SPIRITCANOELODGE.COM
Organization’s email SPIRITCANOELODGE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/12/18
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X99 - Religion Related, Spiritual Development N.E.C.
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
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 Yes
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 KELLY CLAMPITT
Signature Title CHAIRMAN
Signature Date 4/2/19

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