FORM 1023-EZ for MAIDEN SPORTSMEN CLUB

Field Data
EIN 47-4451603
Case Number EO-2016097-000211
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MAIDEN SPORTSMEN CLUB
Organization’s Mailing Address 116 RUBY LANE
City MAIDEN
State NC
ZIP 28650
Accounting period End 12
Primary contact name CHRISTOPHER ROME
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

CHRISTOPHER ROME
TREASURER
116 RUBY LANE
MAIDEN NC 28650

Officer/Director/Trustee Two

DANNY HARBINSON
SECRETARY
540 ROBINHOOD ROAD
MAIDEN NC 28650

Officer/Director/Trustee Three

DENNIS GIBSON
VICE PRESIDENT
PO BOX 864
MAIDEN NC 28650

Officer/Director/Trustee Four

BRIAN BROWN
PRESIDENT
403 N 1ST AVENUE
MAIDEN NC 28650

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/1/2015
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T70 - Fund Raising Organizations That Cross Categories
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 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 Yes
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 No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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