FORM 1023-EZ for HERPETOLOGY CLUB AT NCSU

Field Data
EIN 47-1781716
Case Number EO-2019182-000180
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HERPETOLOGY CLUB AT NCSU
Organization’s Mailing Address 2610 CATES AVENUE ROOM 4210
City RALEIGH
State NC
ZIP 27695-7295
Accounting period End 5
Primary contact name CARLEY-MARTIN MACFARLANE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

EDWARD LANDI
PRESIDENT
2708 WEBB STREET
RALEIGH NC 27609-7710

Officer/Director/Trustee Two

CARLEY-MARTIN MACFARLANE
TREASURER
5604 SOFT WIND DRIVE
FUQUAY-VARINA NC 27526-8580

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/16/06
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name CARLEY-MARTIN MACFARLANE
Signature Title TREASURER
Signature Date 6/25/19

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