FORM 1023-EZ for NORTHERN WAKE OPTIMIST

Field Data
EIN 82-2481085
Case Number EO-2019035-000701
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NORTHERN WAKE OPTIMIST
Organization’s Mailing Address PO BOX 394
City ROLESVILLE
State NC
ZIP 27571
Accounting period End 10
Primary contact name SANDRA YOUNG
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SANDRA YOUNG
PRESIDENT
5421 THORNBURG DR
WAKE FOREST NC 27587

Officer/Director/Trustee Two

ALLISON YOUNG-BARBOUR
VP
60 HILLSIDE VILLAGE DR
LOUISBURG NC 27549

Officer/Director/Trustee Three

LISA PETRUOLO
TREASURER
523 MISTY WILLOW WAY
ROLESVILLE NC 27571

Officer/Director/Trustee Four

BARBARA TIMMONS
SECRETARY
709 N MAIN STREET
ROLESVILLE NC 27571

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/1/18
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Z99 - Unclassified
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 SANDRA YOUNG
Signature Title PRESIDENT
Signature Date 1/11/19

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