FORM 1023-EZ for DOMINION COUNSEL INC

Field Data
EIN 81-3830339
Case Number EO-2016259-000267
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name DOMINION COUNSEL INC
Organization’s Mailing Address 230 PARTRIDGE RUN
City SALISBURY
State NC
ZIP 28147
Accounting period End 12
Primary contact name DANIEL K HICKS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PAUL KELLER
PRESIDENT/DIRECTOR
230 PARTRIDGE RUN
SALISBURY NC 28147

Officer/Director/Trustee Two

TAYLOR CONTRERAS
DIRECTOR
1001 CHESTNUT LANE
OKLAHOMA OK 73034

Officer/Director/Trustee Three

KAY NEWBERRY
DIRECTOR
1590 WESTBROOK PLAZA DR
WINSTON SALEM NC 27103

Officer/Director/Trustee Four

MARGUERITE KELLER
VICE-PRESIDENT
230 PARTRIDGE RUN
WINSTON SALEM NC 28147

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/13/2016
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X20 - Christian
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 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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