FORM 1023-EZ for COROLLA LIFESAVING ASSOCIATION INC

Field Data
EIN 47-2511966
Case Number EO-2014349-000243
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name COROLLA LIFESAVING ASSOCIATION INC
Organization’s Mailing Address 520 OLD STONEY RD STE J
City COROLLA
State NC
ZIP 27927
Accounting period End 12
Primary contact name MICHAEL A CHERRY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MICHAEL CHERRY
PRESIDENT
520 OLD STONEY RD STE J
COROLLA NC 27927

Officer/Director/Trustee Two

MATTHEW HEWES
TREASURER
520 OLD STONEY RD STE J
COROLLA NC 27927

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/8/2014
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code M40 - Safety Education
Organization’s purpose Charitable: No
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 Yes
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
Signature Title
Signature Date

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