FORM 1023-EZ for CATAWBA VALLEY FRATERNAL ORDER OF LEATHERHEADS SOCIETY

Field Data
EIN 81-4145296
Case Number EO-2016293-000410
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CATAWBA VALLEY FRATERNAL ORDER OF LEATHERHEADS SOCIETY
Organization’s Mailing Address 119 S BRADY AVE
City NEWTON
State NC
ZIP 28658
Accounting period End 12
Primary contact name SCOTT MECIMORE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SCOTT MECIMORE
PRESIDENT
119 S BRADY AVE
NEWTON NC 28658

Officer/Director/Trustee Two

TYLAR KEENER
VICE PRESIDENT
119 S BRADY AVE
NEWTON NC 28658

Officer/Director/Trustee Three

KENNETH HUFFMAN
SECRETARY
119 S BRADY AVE
NEWTON NC 28658

Officer/Director/Trustee Four

LUKE SHOFFNER
TREASURER
119 S BRADY AVE
NEWTON NC 28658

Officer/Director/Trustee Five

BRANDON DRUM
MEMBERSHIP
119 S BRADY AVE
NEWTON NC 28658

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/17/2016
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B03 - Professional Societies, Associations
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 No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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