FORM 1023-EZ for LAUREL COMMUNITY CENTER ORG INC

Field Data
EIN 83-2417879
Case Number EO-2018331-000099
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LAUREL COMMUNITY CENTER ORG INC
Organization’s Mailing Address 4100 NC HIGHWAY 212
City MARSHALL
State NC
ZIP 28753
Accounting period End 12
Primary contact name GREG ADAMS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOSEPH RAY
PRESIDENT
77 BURTON COVE RD
MARSHALL NC 28753

Officer/Director/Trustee Two

BOBBY FRANKLIN
VICE PRESIDENT
6460 OLD STAGE ROAD
CHUCKY TN 37641

Officer/Director/Trustee Three

BARBARA ZIMMERMAN
TREASURER
2461 REVERE ROAD
MARSHALL NC 28753

Officer/Director/Trustee Four

GREG ADAMS
SECRETARY
233 STARLING GENTRY ROAD
MARSHALL NC 28753

Officer/Director/Trustee Five

SUSI SEGURET
BOARD MEMBER
1100 TATER GAP ROAD
MARSHALL NC 28753

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/16/17
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A99 - Arts, Culture, and Humanities N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
Literary: Yes
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 GREG ADAMS
Signature Title SECRETARY
Signature Date 11/25/18

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