FORM 1023-EZ for CHARLOTTE BARBARIANS RFC

Field Data
EIN 90-0773987
Case Number EO-2016208-000196
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CHARLOTTE BARBARIANS RFC
Organization’s Mailing Address 7467 SEDGEBROOK DR W
City STANLEY
State NC
ZIP 28164
Accounting period End 12
Primary contact name CHARLES GRIFFITH TREASURER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SCOTT ADAMS
BOARD MEMBER
433 CHURCH STREET NORTH
CONCORD NC 28025

Officer/Director/Trustee Two

NICK NAUM
BOARD MEMBER
100 NORTH TRYON STREET
CHARLOTTE NC 28202

Officer/Director/Trustee Three

CHARLES GRIFFITH
TREASURER
7467 SEDGEBROOK DR W
STANLEY NC 28164

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/14/2010
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N60 - Amateur Sports Clubs, Leagues, N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
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 No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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