FORM 1023-EZ for HALE COUNTY HOSPITAL FOUNDATION INC

Field Data
EIN 45-3188311
Case Number EO-2018158-000195
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HALE COUNTY HOSPITAL FOUNDATION INC
Organization’s Mailing Address PO BOX 582
City GREENSBORO
State AL
ZIP 36744
Accounting period End 12
Primary contact name STEVEN KIRK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

WILLIAM HOLMES
PRESIDENT
1004 MAIN STREET
GREENSBORO AL 36744

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/19/11
Organization Incorporation State AL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E12 - Fund Raising and/or Fund Distribution
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name WILLIAM HOLMES
Signature Title PRESIDENT
Signature Date 6/5/18

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