FORM 1023-EZ for PARK 1764 DEVELOPMENT CORPORATION

Field Data
EIN 82-2221524
Case Number EO-2017226-000211
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PARK 1764 DEVELOPMENT CORPORATION
Organization’s Mailing Address PO BOX 3388
City HICKORY
State NC
ZIP 28603
Accounting period End 12
Primary contact name RODNEY MILLER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RANDY ISENHOWER
DIRECTOR/ CHAIR
1537 LITTLE ROAD
NEWTON NC 28658

Officer/Director/Trustee Two

BRAD LAIL
DIRECTOR/VICE-CHAIR
548 N CENTER STREET
HICKORY NC 28601

Officer/Director/Trustee Three

WARREN WOOD
DIRECTOR/PRESIDENT
PO BOX 398
HICKORY NC 28603

Officer/Director/Trustee Four

MICK BERRY
DIRECTOR/TRASURER
25 GOVERNMENT DRIVE
NEWTON NC 28658

Officer/Director/Trustee Five

SCOTT MILLAR
DIRECTOR/SECRETARY
1960-B 13TH AVENUE DRIVE SE
HICKORY NC 28602

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/21/2017
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S20 - Community, Neighborhood Development, Improvement (General)
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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