FORM 1023-EZ for MORIAH HEMINGSWAY HEALTH FOUNDATION

Field Data
EIN 20-0367855
Case Number EO-2020083-000400
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MORIAH HEMINGSWAY HEALTH FOUNDATION
Organization’s Mailing Address 4935 ALBEMARLE ROAD
City CHARLOTTE
State NC
ZIP 28205-6612
Accounting period End 12
Primary contact name JAY JONES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JAY JONES
SECRETARY
9926 HILLSPRING DRIVE
HUNTERSVILLE NC 28078

Officer/Director/Trustee Two

MARY GAFFNEY
PRESIDENT
4935 ALBEMARLE ROAD
CHARLOTTE NC 28205

Officer/Director/Trustee Three

PAMELA HUNTER HUNTER
VICE PRESIDENT
715 EAST 5TH STREET
CHARLOTTE NC 28202

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/22/2004
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E01 - Alliance/Advocacy Organizations
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: Yes
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 Yes
Correctness Declaration Yes
Signature Name JAY JONES
Signature Title SECRETARY
Signature Date 3/20/2020

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