FORM 1023-EZ for LOYAL HUSKIE CLUB

Field Data
EIN 82-2000429
Case Number EO-2017254-000365
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LOYAL HUSKIE CLUB
Organization’s Mailing Address 1518 EDGEFIELD AVE
City GASTONIA
State NC
ZIP 28052-5275
Accounting period End 12
Primary contact name KIMBERLY MAUNEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KIMBERLY MAUNEY
PRESIDENT
1518 EDGEFIELD AVE
GASTONIA NC 28052-5275

Officer/Director/Trustee Two

ANGELA HARGETT
VICE PRESIDENT
1518 EDGEFIELD AVE
GASTONIA NC 28052-5275

Officer/Director/Trustee Three

BETH JARVIS
SECRETARY/TREASURER
1518 EDGEFIELD AVE
GASTONIA NC 28052-5275

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/14/1982
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B11 - Single Organization Support
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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