FORM 1023-EZ for THE CONCERNED CITIZENS OF LAKE WACCAMAW INC

Field Data
EIN 56-2112088
Case Number EO-2020041-000485
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE CONCERNED CITIZENS OF LAKE WACCAMAW INC
Organization’s Mailing Address 3245 OLD NORTHEAST ROAD
City LAKE WACCAMAW
State NC
ZIP 28450
Accounting period End 6
Primary contact name M WADE GREENE CPA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

HATTIE CAMPBELL
PRESIDENT
3245 OLD NORTHEAST ROAD
LAKE WACCMAW NC 28450

Officer/Director/Trustee Two

TERESA BLANKS
SECRETARY
POCOSIN ROAD
LAKE WACCAMAW NC 28450

Officer/Director/Trustee Three

LILLIAN WEBB
TREASURER
CARVER MOORE ROAD
LAKE WACCAMAW NC 28450

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/21/1999
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S20 - Community, Neighborhood Development, Improvement (General)
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 HATTIE CAMPBELL
Signature Title PRESIDENT
Signature Date 2/7/2020

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