FORM 1023-EZ for CATAWBA VALLEY INTERFAITH COUNCIL

Field Data
EIN 81-4063006
Case Number EO-2017124-000269
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CATAWBA VALLEY INTERFAITH COUNCIL
Organization’s Mailing Address 2230 29TH AVENUE DRIVE NE
City HICKORY
State NC
ZIP 28601
Accounting period End 12
Primary contact name DONALD PAUL FLICK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DONALD FLICK
PRESIDENT
684 DAVIS COVE ROAD
TAYLORSVILLE NC 28681

Officer/Director/Trustee Two

MICHELLE MATHIS
VICE-PRESIDENT
425 25TH STREET SW
HICKORY NC 28603

Officer/Director/Trustee Three

BARBARA LAUFER
SECRETARY
5231 PENINSULA DRIVE
GRANITE FALLS NC 28630

Officer/Director/Trustee Four

ROBERT NEHLS
TREASURER
624 34TH STREET NE
CONOVER NC 28613

Officer/Director/Trustee Five

DENNIS JONES
ASSISTANT SECRETARY
2545 DOVER CHURCH ROAD
TAYLORSVILLE NC 28681

Organization’s website
Organization’s email JODONPLACE@AOL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/10/2017
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X90 - Interfaith Issues
Organization’s purpose Charitable: Yes
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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