FORM 1023-EZ for OMEGAS OF DAVIDSON COUNTY INC

Field Data
EIN 82-2875688
Case Number EO-2018106-000671
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name OMEGAS OF DAVIDSON COUNTY INC
Organization’s Mailing Address PO BOX 326
City LEXINGTON
State NC
ZIP 27293
Accounting period End 10
Primary contact name CORY WILLIAMS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CORY WILLIAMS
PRESIDENT
PO BOX 326
LEXINGTON NC 27293

Officer/Director/Trustee Two

EVERETTE NORWOOD
VICE PRESIDENT
PO BOX 326
LEXINGTON NC 27293

Officer/Director/Trustee Three

DAMEON WORKMAN
TREASURER
PO BOX 326
LEXINGTON NC 27293

Officer/Director/Trustee Four

ERNEST BLAKELY
SECRETARY
PO BOX 326
LEXINGTON NC 27293

Officer/Director/Trustee Five

NONE NONE
NONE
NONE
NONE NC 27293

Organization’s website
Organization’s email ODCPREZ@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/18/17
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Y42 - Domestic Fraternal Societies
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name CORY WILLIAMS
Signature Title PRESIDENT
Signature Date 4/3/18

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