FORM 1023-EZ for SOUTHEASTERN HALIFAX COALITION

Field Data
EIN 35-2681587
Case Number EO-2020069-000501
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SOUTHEASTERN HALIFAX COALITION
Organization’s Mailing Address PO BOX 683
City SCOTLAND NECK
State NC
ZIP 27874
Accounting period End 12
Primary contact name JENNIFER V FIELDS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JENNIFER FIELDS
DIRECTOR
3507 NC HWY 125
HOBGOOD NC 27843

Officer/Director/Trustee Two

KAYLA TAYLOR
BOARD CHAIR
407 WOODLAWN AVE
WELDON NC 27890

Officer/Director/Trustee Three

FELICIA BULLOCK
SECRETARY
7161 MARYS CHAPEL ROAD
SCOTLAND NECK NC 27874

Officer/Director/Trustee Four

HATTIE STATON
VICE-CHAIR
24 BEETS LANE
SCOTLAND NC 27874

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/4/2020
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W99 - Public, Society Benefit - Multipurpose and Other N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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 JENNIFER FIELDS
Signature Title DIRECTOR
Signature Date 3/6/2020

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