FORM 1023-EZ for SALEM SIX

Field Data
EIN 85-2917184
Case Number EO-2020261-000057
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SALEM SIX
Organization’s Mailing Address 400 E ELIZABETH ST
City ELIZABETH CITY
State NC
ZIP 27909
Accounting period End 9
Primary contact name JEREMY DOWDY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JEREMY DOWDY
FOUNDER / CEO
400 E ELIZABETH ST
ELIZABETH CITY NC 27909

Officer/Director/Trustee Two

JESSICA DOWDY
CFO / DIRECTOR
400 E ELIZABETH ST
ELIZABETH CITY NC 27909

Officer/Director/Trustee Three

PHIL DOWDY
CHAIR PERSON / OFFICER
400 E ELIZABETH ST
ELIZABETH CITY NC 27909

Officer/Director/Trustee Four

MATT HARRELL
OFFICER
400 E ELIZABETH ST
ELIZABETH CITY NC 27909

Officer/Director/Trustee Five

NICOLE BICKNELL
OFFICER
400 E ELIZABETH ST
ELIZABETH CITY NC 27909

Organization’s website
Organization’s email SALEMSIXCOMPANY@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/9/2020
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P99 - Human Services - Multipurpose and Other N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
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 No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance Yes
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 JEREMY DOWDY
Signature Title FOUNDER / CEO
Signature Date 9/15/2020

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