FORM 1023-EZ for CARTERET HEART AND VASCULAR

Field Data
EIN 83-1385112
Case Number EO-2018213-000203
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CARTERET HEART AND VASCULAR
Organization’s Mailing Address 3128 MOUNT VERNON CHURCH RD
City RALEIGH
State NC
ZIP 27613
Accounting period End 12
Primary contact name JEREMY WADDELL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

AMY WADDELL
PRESIDENT
3128 MOUNT VERNON CHURCH RD
RALEIGH NC 27613

Officer/Director/Trustee Two

JEREMY WADDELL
SECRETARY/TREASURER
3128 MOUNT VERNON CHURCH RD
RALEIGH NC 27613

Organization’s website
Organization’s email JLWADDELL@BELLSOUTH.NET
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/30/18
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G43 - Heart and Circulatory System Diseases, Disorders
Organization’s purpose Charitable: Yes
Religious: No
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 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 JEREMY WADDELL
Signature Title SECRETARY/TREASURER
Signature Date 7/30/18

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