FORM 1023-EZ for LOCK NATION INCORPORATED

Field Data
EIN 84-1953873
Case Number EO-2019182-000408
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LOCK NATION INCORPORATED
Organization’s Mailing Address 129 BLUE WATER DR
City RAEFORD
State NC
ZIP 28376
Accounting period End 12
Primary contact name CHRISTOPHER HOLLIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHRISTOPHER HOLLIS
DIRECTOR
129 BLUE WATER DR
RAEFORD NC 28376

Officer/Director/Trustee Two

SCOTT SIMMONS
PRESIDENT
132 TREETOP DR
FAYETTEVILLE NC 28311

Officer/Director/Trustee Three

MARION BLAKE
VICE PRESIDENT
7657 SOUTH BEND DR
FAYETTEVILLE NC 28314

Officer/Director/Trustee Four

JENNIFER JONES
TREASURE
625 GLENSFORD DR
FAYETTEVILLE NC 28314

Officer/Director/Trustee Five

SANDRA HOLLIS
SECRETARY
1105 MEADOW LANE
RAEFORD NC 28376

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/27/19
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code I40 - Rehabilitation Services for Offenders
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee Yes
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 Yes
Disaster relief assistance Yes
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 CHRISTOPHER HOLLIS
Signature Title DIRECTOR
Signature Date 6/27/19

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