FORM 1023-EZ for THREE 16 BAND

Field Data
EIN 27-2462910
Case Number EO-2015065-000406
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THREE 16 BAND
Organization’s Mailing Address 882 WEST HIGHWAY 150
City LINCOLNTON
State NC
ZIP 28092-9707
Accounting period End 12
Primary contact name BOBBY FAULKENBERRY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

PHIL GOINS
PRESIDENT
882 WEST HIGHWAY 150
LINCOLNTON NC 28092-9707

Officer/Director/Trustee Two

TOMMY FREEMAN
VICE PRESIENT
6235 CROWDERS CIRCLE
VALE NC 28168-6719

Officer/Director/Trustee Three

BOBBY FAULKENBERRY
CORPORATE SECRETARY
109 WALNUT AVENUE
MOUNT HOLLY NC 28120-2328

Officer/Director/Trustee Four

DANNI GILROY
DIRECTOR
1814 CATALINA LANE
LINCOLNTON NC 28092-5913

Officer/Director/Trustee Five

ADAM ROSE
DIRECTOR
1912 WITHERS ROAD
MAIDEN NC 28650-9627

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/12/2015
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X20 - Christian
Organization’s purpose Charitable: No
Religious: Yes
Educational: No
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 Yes
One Third Support Gifts No
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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