FORM 1023-EZ for NORTH CAROLINA EMERGENCY RESERVE

Field Data
EIN 81-2981550
Case Number EO-2016187-000293
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name NORTH CAROLINA EMERGENCY RESERVE
Organization’s Mailing Address 115 CIMMARON COURT
City CARY
State NC
ZIP 27511-3150
Accounting period End 12
Primary contact name STAN LATTA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

STAN LATTA
SECRETARY/TREASURER
115 CIMMARON COURT
CARY NC 27511-3150

Officer/Director/Trustee Two

CHARLES PERKINS
VICE PRESIDENT
2377 A US HWY 13 N
GOLDSBORO NC 28534-7315

Officer/Director/Trustee Three

PORTER HICKS
PRESIDENT
352 RIDGE TOP LANE
FLEETWOOD NC 28626-9281

Officer/Director/Trustee Four

MARK HARDY
BOARD MEMBER
5612 WINDSOR ROAD
UNION GROVE NC 28689-9055

Officer/Director/Trustee Five

BOB HERRING
BOARD MEMBER
1002 SOMERSET PLACE
GREENSBORO NC 27410-3650

Organization’s website N/A
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/1/2016
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code M19 - Nonmonetary Support 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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