FORM 1023-EZ for SERVICE RANDOLPH INC

Field Data
EIN 85-1217626
Case Number EO-2021093-000237
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SERVICE RANDOLPH INC
Organization’s Mailing Address PO BOX 242
City LIBERTY
State NC
ZIP 27298
Accounting period End 12
Primary contact name PATRICK WRIGHT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PATRICK WRIGHT
DIRECTOR
PO BOX 242
LIBERTY NC 27298

Officer/Director/Trustee Two

ELISE WRIGHT
DIRECTOR
PO BOX 242
LIBERTY NC 27298

Officer/Director/Trustee Three

ANDERSON BULLARD
DIRECTOR
PO BOX 242
LIBERTY NC 27298

Organization’s website
Organization’s email SERVICERANDOLPH@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/11/2020
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O51 - Youth Community Service Clubs
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 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 PATRICK WRIGHT
Signature Title DIRECTOR
Signature Date 2/27/2021

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