FORM 1023-EZ for BEAUFORT COUNTY 360

Field Data
EIN 81-3471114
Case Number EO-2016265-000276
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BEAUFORT COUNTY 360
Organization’s Mailing Address 979 WASHINGTON SQUARE MALL
City WASHINGTON
State NC
ZIP 27889
Accounting period End 12
Primary contact name EVAN LEWIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LISA WOOLARD
CHAIR
979 WASHINGTON SQUARE MALL
WASHINGTON NC 27889

Officer/Director/Trustee Two

MICHAEL MCDUFFIE
VICE CHAIR
120 WEST MARTIN LUTHER KING JR DR
WASHINGTON NC 27889

Officer/Director/Trustee Three

JAMES MADSON
TREASURER
1436 HIGHLAND DRIVE
WASHINGTON NC 27889

Officer/Director/Trustee Four

SALLY LOVE
SECRETARY
1385 JOHN SMALL AVENUE
WASHINGTON NC 27889

Officer/Director/Trustee Five

EVAN LEWIS
BOARD MEMBER
136 MARITIME COURT
CHOCOWINITY NC 27817

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/1/2016
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S21 - Community Coalitions
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 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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