FORM 1023-EZ for DOUBLE SPRINGS GARDEN OF MEMORIES INC
| Field | Data |
|---|---|
| EIN | 84-2002987 |
| Case Number | EO-2019212-000168 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | DOUBLE SPRINGS GARDEN OF MEMORIES INC |
| Organization’s Mailing Address | 4248 CODY DRIVE |
| City | WINSTON-SALEM |
| State | NC |
| ZIP | 27105 |
| Accounting period End | 12 |
| Primary contact name | ANNA PARTLOW |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
WILLIAM CAMPBELL
PRESIDENT/CEO
140 STILLWATER DRIVE
ADVANCE NC 27006
Officer/Director/Trustee Two
ANNA PARTLOW
VICE PRESIDENT
4248 CODY DRIVE
WINSTON-SALEM NC 27105
Officer/Director/Trustee Three
LYNISE BIRCH
SECRETARY
3530 CEDAR POST ROAD
WINSTON-SALEM NC 27127
Officer/Director/Trustee Four
TONY HAWKINS
TREASURER/FINANCIAL SECRETARY
9473 GLENN ROAD
LEWISVILLE NC 27023
Officer/Director/Trustee Five
ELMER RAY HAWKINS
TRUSTEE
1649 EMERALD STREE
WINSTON-SALEM NC 27105
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 6/10/19 |
| Organization Incorporation State | NC |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | S11 - Single Organization Support |
| Organization’s purpose | Charitable: Yes Religious: Yes 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 | ANNA PARTLOW |
| Signature Title | VICE PRESIDENT |
| Signature Date | 7/29/19 |
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