FORM 1023-EZ for HAYWOOD GLEANERS

Field Data
EIN 82-2856942
Case Number EO-2019184-000152
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HAYWOOD GLEANERS
Organization’s Mailing Address 125 FOREST PARK DR
City WAYNESVILLE
State NC
ZIP 28785
Accounting period End 12
Primary contact name DONNA KOGER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JAMES GEENEN
PRESIDENT
231 LOVE LANE
WAYNESVILLE NC 28786

Officer/Director/Trustee Two

SUSAN DOLATA
TREASURER
120 DOLATA LANE
WAYNESVILLE NC 28786

Officer/Director/Trustee Three

PAMELA NOLTE-VIAU
SECRETARY
185 VIOLET RIDGE
WAYNESVILLE NC 28785

Officer/Director/Trustee Four

DONNA KOGER
VICE-PRESIDENT
125 FOREST PARK DR
WAYNESVILLE NC 28785

Officer/Director/Trustee Five

PATRICIA ROBINSON
GLEAN OFFICER
105 WINCHESTER DR
HAYWOOD COUNTY NC 28785

Organization’s website HAYWOODGLEANERS.ORG
Organization’s email HAYWOODGLEANERS@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/2/19
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code K19 - Nonmonetary Support N.E.C.
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 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 JAMES GEENEN
Signature Title PRESIDENT
Signature Date 7/1/19

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