FORM 1023-EZ for ADELPHIA CDC INC

Field Data
EIN 48-1256117
Case Number EO-2016193-000250
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ADELPHIA CDC INC
Organization’s Mailing Address 18 QUARTERDECK
City NEW BERN
State NC
ZIP 28562
Accounting period End 12
Primary contact name ANN CHERRY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANN CHERRY
FISCAL OFFICER
18 QUARTERDECK
NEW BERN NC 28562

Officer/Director/Trustee Two

BRIAN CORNELIUS
CEO
117 QUARTERDECK
NEW BERN NC 28562

Officer/Director/Trustee Three

DAVID MOORE
TRUSTEE
102 W DR ML KING JR DR
WASHINGTON NC 27889

Officer/Director/Trustee Four

CHRISTINE MATTOCKS
TRUSTEE
500 SPRINGHILL RD
MAYSVILLE NC 28555

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/3/2002
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B28 - Specialized Education Institutions
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
Scientific: No
Literary: Yes
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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