FORM 1023-EZ for MICAJAH AUTRY SOCIETY INC

Field Data
EIN 58-1764811
Case Number EO-2021204-000023
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MICAJAH AUTRY SOCIETY INC
Organization’s Mailing Address 105 DOE RUN
City CLINTON
State NC
ZIP 28328
Accounting period End 12
Primary contact name LAWRENCE BERNSTEIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROBERT CASHWELL
PRESIDENT
PO BOX 52
AUTRYVILLE NC 28318

Officer/Director/Trustee Two

CASSANDRA TYNDALL
SECRETARY
340 S STILL ST
AUTRYVILLE NC 28318

Officer/Director/Trustee Three

DALE AUTRY
TREASURER
207 JOHN NUNNERY RD
STEDMAN NC 28391

Officer/Director/Trustee Four

KATHLEEN SQUIBB
DIRECTOR
105 DOE RUN
CLINTON NC 28328

Officer/Director/Trustee Five

LAWRENCE BERNSTEIN
DIRECTOR
PO BOX 6
AUTRYVILLE NC 28318

Organization’s website
Organization’s email KATHLEENSQUIBB1968@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/9/1986
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S20 - Community, Neighborhood Development, Improvement (General)
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 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 ROBERT CASHWELL
Signature Title PRESIDENT
Signature Date 7/21/2021

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