FORM 1023-EZ for LAKE NORMAN RAPTORS

Field Data
EIN 46-3081977
Case Number EO-2014303-000122
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LAKE NORMAN RAPTORS
Organization’s Mailing Address 1335 HUCKLEBERRY DR
City LINCOLNTON
State NC
ZIP 28092
Accounting period End 12
Primary contact name MARTIN WHITE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MARTIN WHITE
PRESIDENT
1335 HUCKLEBERRY DR
LINCOLNTON NC 28092

Officer/Director/Trustee Two

JAMIE MCGINNIS
VICE PRESIDENT
PO BOX 833
DENVER MT 28037

Officer/Director/Trustee Three

AMY MCGINNIS
SECRETARY
PO BOX 833
DENVER NC 28037

Officer/Director/Trustee Four

TENNILLE ROGERS
TREASURER
5757 CEDAR RUN DR
DENVER NC 28037

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/14/2014
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N62 - Basketball
Organization’s purpose Charitable: No
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 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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