FORM 1023-EZ for NORTHEASTERN NORTH CAROLINA RURAL HERITAGE MUSEUM INC

Field Data
EIN 47-2680666
Case Number EO-2015068-000993
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name NORTHEASTERN NORTH CAROLINA RURAL HERITAGE MUSEUM INC
Organization’s Mailing Address 1601 VIRGINIA ROAD
City EDENTON
State NC
ZIP 27932
Accounting period End 12
Primary contact name KIPLING GODWIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MIKE AYDLETT
PRESIDENT
166 WALSTON LANE
CAMDEN NC 27921

Officer/Director/Trustee Two

MICHAEL GRAY
SECRETARY
853 BODY ROAD
ELIZABETH CITY NC 27909

Officer/Director/Trustee Three

RICK MORGAN
BOARD MEMBER
89 PARKERS CHURCH ROAD
CORAPEAKE NC 27926

Officer/Director/Trustee Four

ED NIXON
BOARD MEMBER
446 BALLAHACK ROAD
HERTFORD NC 27944

Officer/Director/Trustee Five

MICHAEL HARRIS
BOARD MEMBER
534 NORTH SLOPE ROAD
ROPER NC 27970

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/16/2015
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A50 - Museum, Museum Activities
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
Signature Title
Signature Date

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