FORM 1023-EZ for UNITED CLUB OF PROSPECT

Field Data
EIN 41-2252695
Case Number EO-2017284-000209
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name UNITED CLUB OF PROSPECT
Organization’s Mailing Address 3865 MISSOURI ROAD
City MAXTON
State NC
ZIP 28364
Accounting period End 12
Primary contact name JIMMY BULLARD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JIMMY BULLARD
PRESIDENT
6553 PROSPECT ROAD
MAXTON NC 28364

Officer/Director/Trustee Two

DARYL SMITH
VICE-PRESIDENT
182 RED BANKS ROAD
MAXTON NC 28364

Officer/Director/Trustee Three

GLEN LOCKLEAR
TREASURER
430 OQUINN ROAD
MAXTON NC 28364

Officer/Director/Trustee Four

DELTON OXENDINE
SECRETARY
PO BOX 687
PEMBROKE NC 28372

Officer/Director/Trustee Five

JUDE BULLARD
CHAPLIN
705 SMITH CIRCLE
PEMBROKE NC 28372

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/15/1958
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: 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 Yes
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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