FORM 1023-EZ for ELLERBE AREA NEIGHBORS ASSOCIATIONINC

Field	Data
EIN	82-4321118
Case Number	EO-2019094-000225
Form 1023-EZ version	12018
Eligibility Worksheet	1
Organization Name	ELLERBE AREA NEIGHBORS ASSOCIATIONINC
Organization’s Mailing Address	PO BOX 801
City	ELLERBE
State	NC
ZIP	28338
Accounting period End	12
Primary contact name	MARK BUCKERIDGE
Primary contact phone	[Hidden]
Primary contact phone extension	[Hidden]
Primary contact fax	[Hidden]
User fee submitted	$275.00

Officer/Director/Trustee One

MARK BUCKERIDGE
PRESIDENT
2537 NORTH US HIGHWAY 220
ELLERBE NC 28338

Officer/Director/Trustee Two

HEATHER RAINES
VICE PRESIDENT
2970 NORTH US HIGHWAY 220
ELLERBE NC 28338

Officer/Director/Trustee Three

NANCY SELLERS
TREASURER
234 MILLSTONE RD
ELLERBE NC 28338

Officer/Director/Trustee Four

DONNA BUCKERIDGE
SECRETARY
2537 NORTH US HIGHWAY 220
ELLERBE NC 28338

Officer/Director/Trustee Five

FRED CLONINGER
DIRECTOR
188 CRAWFORD RD
ELLERBE NC 28338

Organization’s website
Organization’s email	ELLERBEDOWNTOWN@GMAIL.COM
Organization Incorporated	Yes
Organization trust	No
Necessary Organizing Documents	Yes
Organization Incorporation Date	3/6/19
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: 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	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	DONNA BUCKERIDGE
Signature Title	SECRETARY
Signature Date	4/2/19
EIN	82-4321118
Case Number	EO-2019094-000225
Form 1023-EZ version	12018
Eligibility Worksheet	1
Organization Name	ELLERBE AREA NEIGHBORS ASSOCIATION INC
Organization’s Mailing Address	PO BOX 801
City	ELLERBE
State	NC
ZIP	28338
Accounting period End	12
Primary contact name	MARK BUCKERIDGE
Primary contact phone	[Hidden]
Primary contact phone extension	[Hidden]
Primary contact fax	[Hidden]
User fee submitted	$275.00