FORM 1023-EZ for ORANGE COUNTY LIVING WAGE

Field Data
EIN 47-4595087
Case Number EO-2015272-000375
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ORANGE COUNTY LIVING WAGE
Organization’s Mailing Address 218 LAKE MANOR RD
City CHAPEL HILL
State NC
ZIP 27516
Accounting period End 12
Primary contact name SUSAN ROMAINE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

SUSAN ROMAINE
CHAIR
218 LAKE MANOR ROAD
CHAPEL HILL NC

Officer/Director/Trustee Two

STUART BETHUNE
VICE CHAIR
1001 WOOD SAGE ROAD
CHAPEL HILL NC

Officer/Director/Trustee Three

PETER MCCUBBIN
TREASURER
329 TENNEY CIRCLE
CHAPEL HILL NC 27514

Officer/Director/Trustee Four

SUSAN ATTERMEIER
SECRETARY
1510 LIVIA DRIVE
HILLSBOROUGH NC 27278

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/30/2015
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code J99 - Employment, Job Related N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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