FORM 1023-EZ for WOMENS ICE HOCKEY CLUB AT NC STATE

Field Data
EIN 84-3099117
Case Number EO-2020070-000127
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name WOMENS ICE HOCKEY CLUB AT NC STATE
Organization’s Mailing Address 7025 DANIEL RD
City WAKE FOREST
State NC
ZIP 27587
Accounting period End 6
Primary contact name EMILY PETERSEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

EMILY PETERSEN
PRESIDENT
7025 DANIEL RD
WAKE FOREST NC 27587-5971

Officer/Director/Trustee Two

VERONICA HEYL
VICE PRESIDENT
1544 FAIRBANKS RD
CARY NC 27513-2705

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/19/2019
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B80 - Student Services, Organizations of Students
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
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 EMILY PETERSEN
Signature Title PRESIDENT
Signature Date 3/8/2020

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