FORM 1023-EZ for MENISCUS MINISTRIES

Field Data
EIN 81-4558094
Case Number EO-2021104-001024
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MENISCUS MINISTRIES
Organization’s Mailing Address 131 PARK VIEW CIRCLE
City BLOWING ROCK
State NC
ZIP 28605-9567
Accounting period End 10
Primary contact name SCOTT LYCAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JORDAN PACILIO
DIRECTOR
1042 LORING ST
SAN DIEGO CA 29109-1817

Officer/Director/Trustee Two

SCOTT LYCAN
CHAIRPERSON
131 PARK VIEW CIRCLE
BLOWING ROCK NC 28605-9567

Officer/Director/Trustee Three

REBECCA LYCAN
TREASURER
131 PARK VIEW CIRCLE
BLOWING ROCK NC 28605-9567

Officer/Director/Trustee Four

JENNIFER MILLSPAUGH
SECRETARY
UNIT 214- 8605 SHELBYVILLE RD
LOUSVILLE KY 40222-5348

Officer/Director/Trustee Five

STEVE JELLICORSE
BOARD VICE-CHAIR
723 SOUTH BOYLAN
RALEIGH NC 28605

Organization’s website MENISCUSMINISTRIES.ORG
Organization’s email MENISCUSCHOME@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/30/2016
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
Organization’s purpose Charitable: Yes
Religious: Yes
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 Yes
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name SCOTT LYCAN
Signature Title CHAIRPERSON
Signature Date 4/12/2021
EIN 81-4558094
Case Number EO-2017074-000160
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MENISCUS MINISTRIES
Organization’s Mailing Address 131 PARK VIEW CIRCLE
City BLOWING ROCK
State NC
ZIP 28605
Accounting period End 10
Primary contact name SCOTT T LYCAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

AMY PITMAN
CHAIRMAN - PRES
241 FERDINAND DRIVE
RALEIGH NC 27545

Officer/Director/Trustee Two

STEVE JELLICORSE
VICE CHAIRMAN - VP
723 SOUTH BOYLAN AVE
RALEIGH NC 27603

Officer/Director/Trustee Three

DAVID COCHRAN
TREASURER
1401 FOWLER DR
GARNER NC 27529

Officer/Director/Trustee Four

BRENDA JELLISCORSE
SECRETARY
723 SOUTH BOYLAN AVE
RALEIGH NC 27603

Officer/Director/Trustee Five

SCOTT LYCAN
DIRECTOR
131 PARK VIEW CIRCLE
BLOWING ROCK NC 28605

Organization’s website NA
Organization’s email MENISCUSHOME@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/30/2016
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
Organization’s purpose Charitable: Yes
Religious: Yes
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 Yes
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
Signature Title
Signature Date

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