FORM 1023-EZ for THE ADDISON HUTCHISON FOUNDATION

Field Data
EIN 84-2876442
Case Number EO-2019249-000167
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE ADDISON HUTCHISON FOUNDATION
Organization’s Mailing Address 112A ARGUS LANE NUM146
City MOORESVILLE
State NC
ZIP 28117
Accounting period End 12
Primary contact name MICHAEL HUTCHISON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHAEL HUTCHISON
PRESIDENT
208 BLOSSOM RIDGE DRIVE
MOORESVILLE NC 28117

Officer/Director/Trustee Two

SANDI VANWORMER
VICE PRESIDENT
192 BROADVIEW CIRCLE
MOORESVILLE NC 28117

Officer/Director/Trustee Three

ELIZABETH LOIACANO
TREASURER
140 NESTING QUAIL DR
MOORESVILLE NC 28117

Officer/Director/Trustee Four

JAMIE CURRENT
SECRETARY
175 WELCOME STREET
MOORESVILLE NC 28117

Officer/Director/Trustee Five

RYAN MCKINNEY
MEMBER AT LARGE
4 EDWARDS CT
JOHNSON CITY TN 37601

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/4/19
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T22 - Private Independent Foundations
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 MICHAEL HUTCHISON
Signature Title PRESIDENT
Signature Date 9/4/19

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