FORM 1023-EZ for EQUESTRIAN-WESTERN CLUB AT NC STATE

Field Data
EIN 27-4080149
Case Number EO-2019316-000007
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name EQUESTRIAN-WESTERN CLUB AT NC STATE
Organization’s Mailing Address CAMPUS BOX 8111
City RALEIGH
State NC
ZIP 27695-8111
Accounting period End 12
Primary contact name BRYAN STALLINGS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRYAN STALLINGS
CO PRESIDENT
2610 CATES AVE
RALEIGH NC 27695

Officer/Director/Trustee Two

ANNA MERTSON
CO PRESIDENT
2610 CATES AVE
RALEIGH NC 27695

Officer/Director/Trustee Three

GRACIE HAYNES
TREASURER
2610 CATES AVE
RALEIGH NC 27695

Organization’s website N/A
Organization’s email EQUESTRIANWESTERNCLUB.NCSU@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/30/10
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N69 - Equestrian, Riding
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name BRYAN STALLINGS
Signature Title CO PRESIDENT
Signature Date 11/7/19

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