FORM 1023-EZ for CULVER AUTO RACING MUSEUM

Field Data
EIN 83-3678094
Case Number EO-2019066-000348
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CULVER AUTO RACING MUSEUM
Organization’s Mailing Address 1305 SHORT JOURNEY RD
City SMITHFIELD
State NC
ZIP 27577
Accounting period End 12
Primary contact name CHAD CULVER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHAD CULVER
DIRECTOR
1305 SHORT JOURNEY RD
SMITHFIELD NC 27577

Officer/Director/Trustee Two

CY CLENDANIEL
DIRECTOR
12 ANDERSON DRIVE
DUE WEST SC 29639

Officer/Director/Trustee Three

ARNOLD WALLACE
DIRECTOR
1104 SWIFT CREEK DR
CLAYTON NC 27520

Organization’s website WWW.CULVERAUTONRACINGMUSEUM.COM
Organization’s email CHADWCULVER@AOL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/26/19
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A54 - History Museums
Organization’s purpose Charitable: No
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 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 CHAD CULVER
Signature Title DIRECTOR
Signature Date 3/5/19

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