FORM 1023-EZ for VELO4YELLOW

Field Data
EIN 47-1522215
Case Number EO-2015030-000502
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name VELO4YELLOW
Organization’s Mailing Address 12609 BELLSTONE LANE
City RALEIGH
State NC
ZIP 27614
Accounting period End 12
Primary contact name CHRISTOPHER POE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

TONY SANTALUCIA
PRESIDENT
12609 BELLSTONE LANE
RALEIGH NC 27614

Officer/Director/Trustee Two

MARK ERICKSON
SECRETARY
12732 BOYCE MILL ROAD
RALEIGH NC 27613

Officer/Director/Trustee Three

DAVE BROWN
CHAIRMAN
10801 DALMORE PLACE
RALEIGH NC 27614

Officer/Director/Trustee Four

DARBY JURLS
TREASURER
5005 DEER LAKE TRAIL
WAKE FOREST NC 27587

Officer/Director/Trustee Five

DAVE ROLLINS
DIRECTOR
1524 FARMINGTON GROVE DRIVE
RALEIGH NC 27614

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/1/2014
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code H12 - Fund Raising and/or Fund Distribution
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 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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