FORM 1023-EZ for MOUNT ZION UNITED HOLY CHURCH OF WARSAW NORTH CAROLINA INC

Field Data
EIN 43-1982194
Case Number EO-2016347-000147
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MOUNT ZION UNITED HOLY CHURCH OF WARSAW NORTH CAROLINA INC
Organization’s Mailing Address POST OFFICE BOX 32
City WARSAW
State NC
ZIP 28398
Accounting period End 12
Primary contact name GLENDER PEE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LORENZO SIMMONS
CHAIRPERSON
2353 CULBRETH ROAD
FAYETTEVILLE NC 28312

Officer/Director/Trustee Two

KENNETH HOUSTON
BOARDMEMBER
779 PENNY BRANCH ROAD
WARSAW NC 28398

Officer/Director/Trustee Three

MIKE HALL
BOARDMEMBER
522 W COLLEGE STREET
WARSAW NC 28398

Officer/Director/Trustee Four

PATRICE CARTER
BOARDMEMBER
500 YANCY STREET
WARSAW NC 28398

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/3/2002
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: Yes
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 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
Signature Title
Signature Date

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