FORM 1023-EZ for ICE HOCKEY CLUB AT NC STATE

Field Data
EIN 46-4129861
Case Number EO-2015197-000215
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ICE HOCKEY CLUB AT NC STATE
Organization’s Mailing Address 2611 CATES AVENUE ROOM 1000
City RALEIGH
State NC
ZIP 27695-8111
Accounting period End 6
Primary contact name GARRETT SUNDA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

SEAN BLYE
PRESIDENT
114 MCINTIRE LN
CARY NC 27513-4017

Officer/Director/Trustee Two

GARRETT SUNDA
VICE PRESIDENT
5080 BRIAN CENTER LN
WINSTON SALEM NC 27106-6479

Officer/Director/Trustee Three

WILLIAM FREDENBURG
TREASURER
1003 BERINGER PLACE
APEX NC 27502-8933

Officer/Director/Trustee Four

CHRISTOPHER WING
SECRETARY
132 SOUTHWOLD DRIVE
CARY NC 27519-5933

Organization’s website NCSUHOCKEY.ORG
Organization’s email ICEHOCKEY-CLUB@NCSU.EDU
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/19/2013
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B80 - Student Services, Organizations of Students
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 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
Signature Title
Signature Date

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