FORM 1023-EZ for NORTH CAROLINA BAPTIST CAMPUS MINISTRY

Field Data
EIN 82-2406223
Case Number EO-2018038-000259
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NORTH CAROLINA BAPTIST CAMPUS MINISTRY
Organization’s Mailing Address 129 N MAIN STREET
City SALISBURY
State NC
ZIP 28144
Accounting period End 12
Primary contact name DANA C HALL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DANA HALL
DIRECTOR
2290 JON CHRIS DRIVE
HARRISBURG NC 28075

Officer/Director/Trustee Two

JAMES CARTER JR
DIRECTOR
365 CARTER HILL ROAD
ROCKWELL NC 28138

Officer/Director/Trustee Three

JOHN JOHNSON
DIRECTOR
1069 CENTRAL DRIVE
CONCORD NC 28027

Officer/Director/Trustee Four

CHERISE GREGORY
DIRECTOR
15120 ALEXANDER PLACE DRIVE
HUNTERSVILLE NC 28078

Officer/Director/Trustee Five

NADIA ALVAREZ
DIRECTOR
1064 VARSITY LANE
CHARLOTTE NC 28262

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/11/17
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X20 - Christian
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 DANA HALL
Signature Title DIRECTOR
Signature Date 2/5/18

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