FORM 1023-EZ for REGION 3 ORDER OF ST LUKE

Field Data
EIN 20-1727354
Case Number EO-2014349-000364
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name REGION 3 ORDER OF ST LUKE
Organization’s Mailing Address PO BOX 2319
City FRANKLIN
State NC
ZIP 28734
Accounting period End 12
Primary contact name ARTHUR MACK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JOHN RICE
PRESIDENT/ DIRECTOR
94 JIM DONALD ROAD
FRANKLIN NC 28734

Officer/Director/Trustee Two

CAROLYN CLINE-GRIFFITHS
TREASURER
107 ROCKY ROAD
MORGANTON GA 30560

Officer/Director/Trustee Three

ELIZABETH ALEN
DIRECTOR
510 STAFFORD ROAD
WINSTON-SALEM NC 27104

Officer/Director/Trustee Four

ARTHUR MACK
DIRECTOR
13 DOVER LANE
HENDERSONVILLE NC 28739

Officer/Director/Trustee Five

GAYLE MERRITT
DIRECTOR
5155 CYPRESS LINKSWAY
TAYLORS SC 29687

Organization’s website WWW.OSLREGION3.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/22/2014
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X20 - Christian
Organization’s purpose Charitable: Yes
Religious: Yes
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 Yes
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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