FORM 1023-EZ for ENGINEERS COUNCIL AT NC STATE UNIVERSITY

Field Data
EIN 47-2469472
Case Number EO-2018337-000126
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ENGINEERS COUNCIL AT NC STATE UNIVERSITY
Organization’s Mailing Address 21 CURRENT DR CAMPUS BOX 7904
City RALEIGH
State NC
ZIP 27695-7904
Accounting period End 6
Primary contact name COLLEEN ROOSA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

COLLEEN ROOSA
PRESIDENT
21 CURRENT DR
RALEIGH NC 27695-7904

Officer/Director/Trustee Two

DANIEL PHAM
VICE PRESIDENT
21 CURRENT DR
RALEIGH NC 27695-7904

Officer/Director/Trustee Three

EMMY JEFFRIES
TREASURER
21 CURRENT DR
RALEIGH NC 27695-7904

Officer/Director/Trustee Four

MARZANNE DELAPP DE ANAYA
SECRETARY
21 CURRENT DR
RALEIGH NC 27695-7904

Organization’s website HTTPS://ORGS.NCSU.EDU/ENGINEERS-COUNCIL/
Organization’s email ENGINEERSCOUNCIL@NCSU.EDU
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/25/18
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name COLLEEN ROOSA
Signature Title PRESIDENT
Signature Date 11/29/18

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