FORM 1023-EZ for SAVE A LIFE NORTH CAROLINA INC

Field Data
EIN 84-1889102
Case Number EO-2019150-000270
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SAVE A LIFE NORTH CAROLINA INC
Organization’s Mailing Address 807 MAGNOLIA ST
City GREENSBORO
State NC
ZIP 27401
Accounting period End 12
Primary contact name WOODROW BUMBRY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KURT LAUENSTEIN
PRESIDENT
807 MA
GREENSBORO NC 27401

Officer/Director/Trustee Two

CALVIN CLEVELAND
VICE PRESIDENT
1301 ALAMANCE CHURCH ROAD
GREENSBORO NC 27406

Officer/Director/Trustee Three

SHERRY DICKSTEIN
SECRETARY/TREASURER
807 MAGNOLIA ST
GREENSBORO NC 27401

Officer/Director/Trustee Four

BONNY MCCLAIN
MEMBER
224 SOUTH PARK DR
GREENSBORO NC 27401

Officer/Director/Trustee Five

KATHY FORDHAM
MEMBER
204 ERSKINE DR APT E
GREENSBORO NC 27410

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/18/19
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: 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 KURT LAUENSTEIN
Signature Title PRESIDENT
Signature Date 5/28/19

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