FORM 1023-EZ for SAFE KIDS CALDWELL COUNTY INC

Field Data
EIN 82-2356817
Case Number EO-2018117-000122
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SAFE KIDS CALDWELL COUNTY INC
Organization’s Mailing Address 2345 MORGANTON BLVD SW
City LENOIR
State NC
ZIP 28645
Accounting period End 12
Primary contact name ADAM STERKEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANNA MARTIN
PRESIDENT
2345 MORGANTON BLVD
LENOIR NC 28645

Officer/Director/Trustee Two

KELSEY PFAFF
SECRETARY
2009 34TH AVENUE DR NE
HICKORY NC 28601

Officer/Director/Trustee Three

ADAM STERKEN
TREASURER
524 FARIVIEW DR
LENOIR NC 28645

Officer/Director/Trustee Four

MARSHALL RUPPARD
DIRECTOR
1035 WEST AVENUE NW
LENOIR NC 28645

Officer/Director/Trustee Five

SCOTT KANUPP
DIRECTOR
1035 WEST AVENUE NW
LENOIR NC 28645

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/25/17
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B90 - Educational Services and Schools - Other
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 ADAM STERKEN
Signature Title TREASURER
Signature Date 4/25/18

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