FORM 1023-EZ for HISTORIC COLERAIN

Field Data
EIN 81-2661314
Case Number EO-2016153-000327
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HISTORIC COLERAIN
Organization’s Mailing Address PO BOX 237
City COLERAIN
State NC
ZIP 27924-0237
Accounting period End 5
Primary contact name NORMAN F PERRY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

NORMAN PERRY
CO-PRESIDENT
PO BOX 237
COLERAIN NC 27924-0237

Officer/Director/Trustee Two

JAQUELIN PERRY
CO-PRESIDENT
PO BOX 237
COLERAIN NC 27924-0237

Officer/Director/Trustee Three

JOHN HILL
TREASURER
617 NC HIGHWAY 42
COLERAIN NC 27924-9032

Officer/Director/Trustee Four

BERNIE BAKER
VICE-PRESIDENT
311 NORTH MAIN STREET
COLERAIN NC 27924-9220

Officer/Director/Trustee Five

TRAVETTE PERRY
SECRETARY
209 LAZY HILL ROAD
COLERAIN NC 27924-9311

Organization’s website
Organization’s email JAQUELINPERRY@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/16/2016
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S20 - Community, Neighborhood Development, Improvement (General)
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 Yes
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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