FORM 1023-EZ for POLK COUNTY FILM INITIATIVE INC

Field Data
EIN 47-3556104
Case Number EO-2015093-000255
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name POLK COUNTY FILM INITIATIVE INC
Organization’s Mailing Address 285 NORTH TRADE STREET
City TRYON
State NC
ZIP 28782
Accounting period End 12
Primary contact name KIRK GOLLWITZER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

KIRK GOLLWITZER
CHAIRMAN
650 DALTON ROAD
MILL SPRING NC 28756

Officer/Director/Trustee Two

LAVIN CUDDIHEE
VICE- CHAIRMAN
285 N TRADE ST
TRYON NC 28782

Officer/Director/Trustee Three

BEAU MENETRE
MEMBER
285 N TRADE ST
TRYON NC 28782

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/18/2015
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A31 - Film, Video
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 No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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