FORM 1023-EZ for OMEGA OF ROCKY MOUNT
| Field | Data |
|---|---|
| EIN | 56-1792572 |
| Case Number | EO-2021091-000144 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | OMEGA OF ROCKY MOUNT |
| Organization’s Mailing Address | P O BOX 2036 |
| City | ROCKY MOUNT |
| State | NC |
| ZIP | 27802 |
| Accounting period End | 11 |
| Primary contact name | WARREN DAVIS |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
CALVIN BALANCE
BASILEUS
720 DREXEL RD
ROCKY MOUNT NC 27804
Officer/Director/Trustee Two
WARREN DAVIS
VICE BASILEUS
3943 CANE GARDEN DR
RALEIGH NC 27610
Officer/Director/Trustee Three
GREGORY RICHARDSON
KEEP OF FINANCE
117 DILLON CT
ROCKY MOUNT NC 27803
Officer/Director/Trustee Four
ANTHONY NELLIS JR
KEEPER OF RECORD AND SEAL
4020 KETCH POINT DR
ROCKY MOUNT NC 27803
| Organization’s website | N/A |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 11/26/1946 |
| Organization Incorporation State | NC |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | P20 - Human Service Organizations - Multipurpose |
| Organization’s purpose | Charitable: Yes Religious: Yes Educational: Yes Scientific: Yes Literary: Yes Public Safety: No Amateur Sports: No Cruelty Prevention: Yes |
| Qualify For Exemption | No |
| Legislation influence | No |
| Compensation of Officer director trustee | No |
| Donation of funds | Yes |
| Conducting Activities Outside of United States | No |
| Financial transactions with officers | Yes |
| Unrelated Gross Income $1,000 or More | Yes |
| Gaming Activity | No |
| Disaster relief assistance | Yes |
| 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 | Yes |
| Correctness Declaration | Yes |
| Signature Name | WARREN DAVIS |
| Signature Title | VICE BASILEUS |
| Signature Date | 2/18/2021 |
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