FORM 1023-EZ for FRIENDS OF LAKE JOHNSON INC

Field Data
EIN 56-2347880
Case Number EO-2016288-000257
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FRIENDS OF LAKE JOHNSON INC
Organization’s Mailing Address 3712 EAKLEY COURT
City RALEIGH
State NC
ZIP 27606
Accounting period End 6
Primary contact name W BENSON KIRKMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

W BENSON KIRKMAN
PRESIDENT
3712 EAKLEY COURT
RALEIGH NC 27606

Officer/Director/Trustee Two

ROBERT DIFIORE
SECRETARY
729 BENNINGTON DRIVE
RALEIGH NC 27615

Officer/Director/Trustee Three

ELIZABETH HUBBE
TREASURER
1105 LANDS END COURT
RALEIGH NC 27606

Officer/Director/Trustee Four

PATRICIA HILL
MEMBER
109 CHAPELWOOD WAY
CARY NC 27518

Officer/Director/Trustee Five

GARY THOMAS
MEMBER
3915 WENDY LANE
RALEIGH NC 27606

Organization’s website
Organization’s email BENSON.KIRKMAN@ATT.NET
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/8/2003
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code C30 - Natural Resources Conservation and Protection
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 Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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