FORM 1023-EZ for THE NC 100 CORPORATION

Field Data
EIN 83-0552872
Case Number EO-2018176-000251
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE NC 100 CORPORATION
Organization’s Mailing Address 2909 GROOMS RD
City REIDSVILLE
State NC
ZIP 27320
Accounting period End 12
Primary contact name MERALD HOLLOWAY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MERALD HOLLOWAY
DIRECTOR
8320 PILOTS VIEW DRIVE
RALEIGH NC 27617

Officer/Director/Trustee Two

VICKIE BANNERMAN
DIRECTOR
6596 FREEMONT HILLS LOOP NE
RIO RANCHO NM 87144

Officer/Director/Trustee Three

ASHLEY CHADWICK
DIRECTOR
3011 MONTICELLO DR
KINSTON NC 28504

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/8/18
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B01 - Alliance/Advocacy Organizations
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 Yes
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name MERALD HOLLOWAY
Signature Title DIRECTOR
Signature Date 6/21/18

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