FORM 1023-EZ for FAIRMONT ARK INC
| Field | Data |
|---|---|
| EIN | 85-2137537 |
| Case Number | EO-2020210-000565 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | FAIRMONT ARK INC |
| Organization’s Mailing Address | 9464 NC HIGHWAY 41 SOUTH |
| City | FAIRMONT |
| State | NC |
| ZIP | 28340 |
| Accounting period End | 12 |
| Primary contact name | CKEPPEN E MCLAURIN |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
CKEPPEN MCLAURIN
DIRECTOR
9466 NC HWY 41 SOUTH
FAIRMONT NC 28340
Officer/Director/Trustee Two
VERONICA RICH
OFFICER
101 COTTAGE STREET
FAIRMONT NC 28340
Officer/Director/Trustee Three
KAMMERON POLVERARI
OFFICER
406 FLOYD STREET
FAIRMONT NC 28340
Officer/Director/Trustee Four
LOUISE LEWIS
TRUSTEE
312 TRINITY STREET
FAIRMONT NC 28340
| Organization’s website | |
|---|---|
| Organization’s email | MCKEP@YAHOO.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 7/24/2020 |
| Organization Incorporation State | NC |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | D20 - Animal Protection and Welfare |
| 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 | 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 | No |
| Seeking Section 7 Reinstatement | No |
| Correctness Declaration | Yes |
| Signature Name | CKEPPEN MCLAURIN |
| Signature Title | DIRECTOR |
| Signature Date | 7/24/2020 |
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