FORM 1023-EZ for IOTA PHI THETA FRATERNITY INC - GAMMA NU OMEGA CHAPTER

Field Data
EIN 47-3023651
Case Number EO-2017283-000117
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name IOTA PHI THETA FRATERNITY INC - GAMMA NU OMEGA CHAPTER
Organization’s Mailing Address PO BOX 481602
City CHARLOTTE
State NC
ZIP 28269
Accounting period End 12
Primary contact name DARRIN DAVIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ESTON WELLS
STATE DIRECTOR
6716 CYPRESS TREE LANE
CHARLOTTE NC 28215

Officer/Director/Trustee Two

CHRISTOPHER CROSS
VICE-PRESIDENT
1624 CHASEWOOD DR APT 7
CHARLOTTE NC 28212

Officer/Director/Trustee Three

ANTWAN WARD
TREASURER
9101 BRIGHTLEAF PL
CHARLOTTE NC 28269

Officer/Director/Trustee Four

DARRIN DAVIS
GENERAL OFFICER
8522 APPLEDALE DRIVE
CHARLOTTE NC 28262

Officer/Director/Trustee Five

KYLE GILMORE
PRESIDENT
7400 PINE BLUFF CIRCLE
CHARLOTTE NC 28214

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/8/2013
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W99 - Public, Society Benefit - 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 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 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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