FORM 1023-EZ for APOLOGIA INSTITUTE INC

Field Data
EIN 81-3783054
Case Number EO-2016350-000260
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name APOLOGIA INSTITUTE INC
Organization’s Mailing Address 1213 MONROE DRIVE
City GASTONIA
State NC
ZIP 28054
Accounting period End 12
Primary contact name DEAN MEADOWS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DEAN MEADOWS
PRESIDENT
6135 PARK SOUTH DRIVE SUITE 510
CHARLOTTE NC 28210

Officer/Director/Trustee Two

BRIAN CUNNINGHAM
TREASURER
1213 MONROE DR
GASTONIA NC 28054

Officer/Director/Trustee Three

JACK LIPSEY
SECRETARY
1213 MONROE DR
GASTONIA NC 28054

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/1/2016
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X02 - Management & Technical Assistance
Organization’s purpose Charitable: No
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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