FORM 1023-EZ for DAVIDSON BLUE LINE OF HOPE

Field Data
EIN 84-3252685
Case Number EO-2020022-000317
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name DAVIDSON BLUE LINE OF HOPE
Organization’s Mailing Address PO BOX 1303
City DAVIDSON
State NC
ZIP 28036-1303
Accounting period End 12
Primary contact name DIANE GODINEZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CRYSTAL RUSSELL
CHAIRMAN
14216 EAST ROCKY RIVER ROAD
DAVIDSON NC 28036

Officer/Director/Trustee Two

CAROL COREY
VICE CHAIRMAN
215 N PINE STREET NO 4003
CHARLOTTE NC 28202

Officer/Director/Trustee Three

DIANE GODINEZ
TREASURER
350 BARBER LOOP
MOORESVILLE NC 28117

Officer/Director/Trustee Four

BARBARA KUCHARSKI
SECRETARY
13331 CAITE RIDGE ROAD
DAVIDSON NC 28036

Officer/Director/Trustee Five

LARA JENLE
DIRECTOR
PO BOX 2479
DAVIDSON NC 28036

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/30/2019
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code M12 - Fund Raising and/or Fund Distribution
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 DIANE GODINEZ
Signature Title TREASURER
Signature Date 1/17/2020

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