FORM 1023-EZ for PRE-VETERINARY MEDICAL ASSOCIATIONAT NORTH CAROLINA STATE UNIVERSITY

Field	Data
EIN	82-5313778
Case Number	EO-2018274-000176
Form 1023-EZ version	12018
Eligibility Worksheet	1
Organization Name	PRE-VETERINARY MEDICAL ASSOCIATIONAT NORTH CAROLINA STATE UNIVERSITY
Organization’s Mailing Address	2610 CATES AVENUE CAMPUS BOX 7295
City	RALEIGH
State	NC
ZIP	27607
Accounting period End	4
Primary contact name	HALEY JOHNSON
Primary contact phone	[Hidden]
Primary contact phone extension	[Hidden]
Primary contact fax	[Hidden]
User fee submitted	$275.00

Officer/Director/Trustee One

SHWETA TRIVEDI
CLUB ADVISIOR
2610 CATES AVENUE CAMPUS BOX 7295
RALEIGH NC 27607

Officer/Director/Trustee Two

HALEY JOHNSON
TREASURER
2610 CATES AVENUE CAMPUS BOX 7295
RALEIGH NC 27607

Officer/Director/Trustee Three

SARAH SWARTOUT
PRESIDENT
2610 CATES AVENUE CAMPUS BOX 7295
RALEIGH NC 27607

Officer/Director/Trustee Four

CAROL KAWOLD
VICE PRESIDENT
2610 CATES AVENUE CAMPUS BOX 7295
RALEIGH NC 27607

Organization’s website	HTTP://CLUBS.NCSU.EDU/PREVET/
Organization’s email	NCSUPVMA@GMAIL.COM
Organization Incorporated	Yes
Organization trust	No
Necessary Organizing Documents	Yes
Organization Incorporation Date	10/4/17
Organization Incorporation State	NC
Contains Limitation	Yes
Does not expressly empower	Yes
Contains dissolution	Yes
National Taxonomy of Exempt Entities (NTEE) code	B80 - Student Services, Organizations of Students
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	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	Yes
One Third Support Gifts	No
Benefit of College	No
Private Foundation 508(e)	No
Seeking Retroactive Reinstatement	No
Seeking Section 7 Reinstatement	No
Correctness Declaration	Yes
Signature Name	HALEY JOHNSON
Signature Title	TREASURER
Signature Date	9/27/18
EIN	82-5313778
Case Number	EO-2018274-000176
Form 1023-EZ version	12018
Eligibility Worksheet	1
Organization Name	PRE-VETERINARY MEDICAL ASSOCIATION AT NORTH CAROLINA STATE UNIVERSITY
Organization’s Mailing Address	2610 CATES AVENUE CAMPUS BOX 7295
City	RALEIGH
State	NC
ZIP	27607
Accounting period End	4
Primary contact name	HALEY JOHNSON
Primary contact phone	[Hidden]
Primary contact phone extension	[Hidden]
Primary contact fax	[Hidden]
User fee submitted	$275.00