FORM 1023-EZ for CAROLINA WHEELCHAIR BASKETBALL CONFERENCE INC

Field Data
EIN 81-4137540
Case Number EO-2016298-000405
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CAROLINA WHEELCHAIR BASKETBALL CONFERENCE INC
Organization’s Mailing Address 629 HARDIN ROAD
City FOREST CITY
State NC
ZIP 28043
Accounting period End 12
Primary contact name PATRICK BARNES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PATRICK BARNES
PRESIDENT/DIRECTOR
629 HARDIN ROAD
FOREST CITY NC 28043

Officer/Director/Trustee Two

DONNIE LANGFORD
TREASURER/DIRECTOR
2404 LYNN DRIVE
CONCORD NC 28025

Officer/Director/Trustee Three

BRIAN REINERTSEN
SECRETARY/DIRECTOR
232 COLLEGE AVENUE
ROCK HILL NC 29730

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/20/2016
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P99 - Human Services - Multipurpose and Other N.E.C.
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 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 No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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