FORM 1023-EZ for CARSON OVERBY MEMORIAL FOUNDATION

Field Data
EIN 47-2282787
Case Number EO-2014363-000069
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CARSON OVERBY MEMORIAL FOUNDATION
Organization’s Mailing Address 8251 BALLARD RD
City COLFAX
State NC
ZIP 27235
Accounting period End 6
Primary contact name LAURA BETH OVERBY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

LAURA BETH OVERBY
PRESIDENT / DIRECTOR
8251 BALLARD ROAD
COLFAX NC 27235

Officer/Director/Trustee Two

DEAN GANT
VICE PRESIDENT / DIRECTOR
3005 INGLESIDE DRIVE
HIGH POINT NC 27265

Officer/Director/Trustee Three

ERIC DICKINSON
SECRETARY / DIRECTOR
6309 MARY LEE WAY
HIGH POINT NC 27265

Officer/Director/Trustee Four

CHARLES OVERBY
TREASURER / DIRECTOR
8251 BALLARD ROAD
COLFAX NC 27235

Officer/Director/Trustee Five

ROBERT IDOL
DIRECTOR
6200 STEWARTSVILLE ROAD
MONETA VA 21121

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/28/2014
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: Yes
Religious: No
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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