FORM 1023-EZ for PIEDMONT PROVINCE CONSERVANCY

Field Data
EIN 81-5131060
Case Number EO-2017032-000244
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PIEDMONT PROVINCE CONSERVANCY
Organization’s Mailing Address 5339 COTTAGE LANE
City HOOVER
State AL
ZIP 35226
Accounting period End 12
Primary contact name JONATHAN BELING
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JONATHAN BELING
DIRECTOR
5339 COTTAGE LANE
HOOVER AL 35226

Officer/Director/Trustee Two

ZACHARY WILBANKS
DIRECTOR
297 LOTAWATA DRIVE
JASPER AL 35504

Officer/Director/Trustee Three

JONATHAN WEAVER
DIRECTOR
228 OLLIE MILLER ROAD
JASPER AL 35504

Organization’s website
Organization’s email JONBELING@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/24/2017
Organization Incorporation State AL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code C34 - Land Resources Conservation
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee Yes
Donation of funds No
Conducting Activities Outside of United States No
Financial transactions with officers Yes
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
Signature Title
Signature Date

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