FORM 1023-EZ for COLLETTSVILLE RURITAN CLUB

Field Data
EIN 56-1256989
Case Number EO-2016187-000222
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name COLLETTSVILLE RURITAN CLUB
Organization’s Mailing Address PO BOX 161
City COLLETTSVILLE
State NC
ZIP 28611-9139
Accounting period End 12
Primary contact name BRUCE WHIPPLE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRUCE WHIPPLE
PRESIDENT
1445 STONEMOOR DR
COLLETTSVILLE NC 28611-9139

Officer/Director/Trustee Two

DOUGLAS SAYLOR
VICE PRESIDENT
2616 BEARD LN
LENOIR NC 28645-9085

Officer/Director/Trustee Three

PATRICA RICHARDSON
SECRETARY
2090 GLASS RD
LENOIR NC 28645-9085

Officer/Director/Trustee Four

LOIS HELTON
TREASURER
2389 COLLETTSVILLE RD
LENOIR NC 28645-9085

Officer/Director/Trustee Five

ANITA PINSON
DIRECTOR
2049 GLASS RD
LENOIR NC 28645-9085

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/4/1953
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S20 - Community, Neighborhood Development, Improvement (General)
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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