FORM 1023-EZ for COALITION FOR A SAFE AND DRUG FREESWAIN COUNTY INC

Field Data
EIN 83-4632777
Case Number EO-2019126-000549
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name COALITION FOR A SAFE AND DRUG FREESWAIN COUNTY INC
Organization’s Mailing Address 545 CENTER STREET
City BRYSON CITY
State NC
ZIP 28713
Accounting period End 12
Primary contact name TRISH HIPGRAVE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TRISH HIPGRAVE
PRESIDENT
545 CENTER STREET
BRYSON CITY NC 28713

Officer/Director/Trustee Two

JESSICA WEBB
VICE PRESIDENT
1 RIVER STREET
BRYSON CITY NC 28713

Officer/Director/Trustee Three

AMBER FROST
TREASURER
545 CENTER STREET
BRYSON CITY NC 28713

Officer/Director/Trustee Four

CYNTHIA WOMBLE
SECRETARY
53 LOOK BEAR TRAIL
BRYSON CITY NC 28713

Officer/Director/Trustee Five

MARK PILON
MEMBER
204 MARTIN HEIGHTS
BRYSON CITY NC 28713

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/3/19
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F21 - Alcohol, Drug Abuse, Prevention Only
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 TRISH HIPGRAVE
Signature Title PRESIDENT
Signature Date 5/3/19
EIN 83-4632777
Case Number EO-2019126-000549
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name COALITION FOR A SAFE AND DRUG FREE SWAIN COUNTY INC
Organization’s Mailing Address 545 CENTER STREET
City BRYSON CITY
State NC
ZIP 28713
Accounting period End 12
Primary contact name TRISH HIPGRAVE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TRISH HIPGRAVE
PRESIDENT
545 CENTER STREET
BRYSON CITY NC 28713

Officer/Director/Trustee Two

JESSICA WEBB
VICE PRESIDENT
1 RIVER STREET
BRYSON CITY NC 28713

Officer/Director/Trustee Three

AMBER FROST
TREASURER
545 CENTER STREET
BRYSON CITY NC 28713

Officer/Director/Trustee Four

CYNTHIA WOMBLE
SECRETARY
53 LOOK BEAR TRAIL
BRYSON CITY NC 28713

Officer/Director/Trustee Five

MARK PILON
MEMBER
204 MARTIN HEIGHTS
BRYSON CITY NC 28713

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/3/19
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F21 - Alcohol, Drug Abuse, Prevention Only
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 TRISH HIPGRAVE
Signature Title PRESIDENT
Signature Date 5/3/19

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