FORM 1023-EZ for ROAD RUNNERS CLUB OF AMERICA KERNERSVILLE RUNNING CLUB

Field Data
EIN 10-0579542
Case Number EO-2017170-000144
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ROAD RUNNERS CLUB OF AMERICA KERNERSVILLE RUNNING CLUB
Organization’s Mailing Address 380 FIELDING DR
City KERNERSVILLE
State NC
ZIP 27284
Accounting period End 12
Primary contact name HENRY WARD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

HENRY WARD
PRESIDENT
380 FIELDING DRIVE
KERNERSVILLE NC 27284

Officer/Director/Trustee Two

CURTIS SWISHER
VICE-PRESIDENT
380 FIELDING DRIVE
KERNERSVILLE NC 27284

Officer/Director/Trustee Three

BRUCE BIXLER
SECRETARY
380 FIELDING DRIVE
KERNERSVILLE NC 27284

Officer/Director/Trustee Four

ALLISON PETERS
TREASURER
380 FIELDING DRIVE
KERNERSVILLE NC 27284

Organization’s website WWW.KERNERSVILLERUNNINGCLUB.COM
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/5/2001
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E70 - Public Health Program (Includes General Health and Wellness Promotion Services)
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 Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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