FORM 1023-EZ for HENDERSON GROVE COMMUNITY OUTREACHMINISTIES INC

Field Data
EIN 50-0601624
Case Number EO-2015300-000136
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HENDERSON GROVE COMMUNITY OUTREACHMINISTIES INC
Organization’s Mailing Address 2806 PAGE RD
City MORRISVILLE
State NC
ZIP 27560-9428
Accounting period End 12
Primary contact name KEITH JORDAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JOHNNIE BETHEA
CEO
2806 PAGE RD
MORRISVILLE NC 27560-9428

Officer/Director/Trustee Two

STEPHANIE WALLER
PRESIDENT
2806 PAGE RD
MORRISVILLE NC 27560-9428

Officer/Director/Trustee Three

KEITH JORDAN
TREASURER
2806 PAGE RD
MORRISVILLE NC 27560-9428

Officer/Director/Trustee Four

IRMA FERRELL
SECRETARY
2806 PAGE RD
MORRISVILLE NC 27560-9428

Organization’s website HTTP://HENDERSONGROVE.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/24/2004
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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