FORM 1023-EZ for LEADERSHIP HARNETT INC

Field Data
EIN 56-2236640
Case Number EO-2014239-000082
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LEADERSHIP HARNETT INC
Organization’s Mailing Address PO BOX 507
City LILLINGTON
State NC
ZIP 27546
Accounting period End 12
Primary contact name KEITH RAYNOR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

NANCY JACKSON
CHAIR
PO BOX 507
LILLINGTON NC 27546

Officer/Director/Trustee Two

SUSAN CHRISCOE
FIRST VICE CHAIR
PO BOX 507
LILLINGTON NC 27546

Officer/Director/Trustee Three

KEITH RAYNOR
SECOND VICE CHAIR
PO BOX 507
LILLINGTON NC 27546

Officer/Director/Trustee Four

MATT WILLIS
SECRETARY
PO BOX 507
LILLINGTON NC 28339

Officer/Director/Trustee Five

BETH BLINSON
TREASURER
PO BOX 507
LILLINGTON NC 28339

Organization’s website WWW.LEADERSHIPHARNETT.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/29/2001
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A03 - Professional Societies, Associations
Organization’s purpose Charitable: No
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 Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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