FORM 1023-EZ for STATESVILLE NC CHAPTER OF THE GPAA

Field Data
EIN 81-4215192
Case Number EO-2017138-000256
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name STATESVILLE NC CHAPTER OF THE GPAA
Organization’s Mailing Address 1221 KNOX STREET
City STATESVILLE
State NC
ZIP 28677
Accounting period End 12
Primary contact name JOHN EDWARD OGLESBY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOHN OGLESBY
PRESIDENT
1221 KNOX STREET
STATESVILLE NC 28677

Officer/Director/Trustee Two

LORA LOWDER
TREASURER
195 RED ROSE LANE
MOORESVILLE NC 28115

Officer/Director/Trustee Three

GERALD DEAL
VICE PRESIDENT
3792 COOK ROAD
VALDESE NC 28690

Officer/Director/Trustee Four

VICKIE DEAL
SECRETARY
3792 COOK ROAD
VALDESE NC 28690

Officer/Director/Trustee Five

BILL BREWER
PURCHASING AGENT
P O BOX 5854
STATESVILLE NC 28687

Organization’s website
Organization’s email JEOGLESBY22@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/14/2016
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N50 - Recreational, Pleasure, or Social Club
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 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
Signature Title
Signature Date

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