FORM 1023-EZ for HOPE ASSISTANCE

Field Data
EIN 81-1191043
Case Number EO-2016174-000091
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HOPE ASSISTANCE
Organization’s Mailing Address 319 HIGHWAY STREET
City MADISON
State NC
ZIP 27025-1615
Accounting period End 12
Primary contact name ALLISON HOLT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JOHN ATKINS
PRESIDENT
701 ROACH STREET
MAYODAN NC 27027-2020

Officer/Director/Trustee Two

ALLISON HOLT
SECRETARY/TREASURER
884 MINERAL SPRINGS RD
MADISON NC 27025-8126

Officer/Director/Trustee Three

TOMMY VASS
MEMBER
155 MORNING GLORY RD
MADISON NC 27025-8288

Officer/Director/Trustee Four

RANDY JESSUP
MEMBER
333 LEDBETTER RD
MAYODAN NC 27027-8082

Officer/Director/Trustee Five

MARK MORPHIES
MEMBER
224 PATRICIA LANE
STOKESDALE NC 27357-8248

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/22/2016
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code L41 - Homeless, Temporary Shelter For
Organization’s purpose Charitable: Yes
Religious: Yes
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
Signature Title
Signature Date

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