FORM 1023-EZ for NATSG FCPOA

Field Data
EIN 83-2666788
Case Number EO-2019221-000162
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NATSG FCPOA
Organization’s Mailing Address PSC BOX 21039
City JACKSONVILLE
State NC
ZIP 28545
Accounting period End 9
Primary contact name QUELMINIO GREENE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JONATHAN VALENCIA
PRESIDENT
5114 WESTERN BLDG APT 1221
JACKSONVILLE NC 28546

Officer/Director/Trustee Two

KATHAN RECHCYGL
SECRETARY
PSC BOX 21039
JACKSONVILLE NC 28545

Officer/Director/Trustee Three

QUELMINIO GREENE
TREASURER
1172 MCAVOY ST
JACKSONVILLE NC 28540

Officer/Director/Trustee Four

WENDY STEMAC
MASTER AT ARMS
PSC BOX 21039
JACKSONVILLE NC 28545

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/29/18
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N50 - Recreational, Pleasure, or Social Club
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JONATHAN VALENCIA
Signature Title PRESIDENT
Signature Date 8/7/19

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