FORM 1023-EZ for MORRISVILLE CERT

Field Data
EIN 26-2874034
Case Number EO-2016288-000188
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MORRISVILLE CERT
Organization’s Mailing Address 260-C TOWN HALL DR
City MORRISVILLE
State NC
ZIP 27560-5512
Accounting period End 6
Primary contact name TIMOTHY GRIFFITH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROSE TROYER
PRESIDENT
204 BERLIN WAY
MORRISVILLE NC 27560-5763

Officer/Director/Trustee Two

DICK FEIN
VICE PRESIDENT
128 NAPERVILLE DR
CARY NC 27519-8393

Officer/Director/Trustee Three

REBECCA MARTIN
SECRETARY
102 HUNTINGTON PARK DR
MORRISVILLE NC 27560-9310

Officer/Director/Trustee Four

KEITH PETSCHKE
CORRESPONDING SECRETARY
900 JEWEL STONE LN
MORRISVILLE NC 27560-7185

Officer/Director/Trustee Five

TIMOTHY GRIFFITH
TREASURER
7247 TERREGLES DR
RALEIGH NC 27617-6702

Organization’s website WWW.MORRISVILLE-CERT.ORG
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/17/2008
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code M20 - Disaster Preparedness and Relief Services
Organization’s purpose Charitable: No
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 Yes
One Third Support Public No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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