FORM 1023-EZ for MONCURE HAYWOOD EVENT

Field Data
EIN 83-1420404
Case Number EO-2018229-000343
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MONCURE HAYWOOD EVENT
Organization’s Mailing Address 3738 OLD US 1 HIGHWAY
City NEW HILL
State NC
ZIP 27562
Accounting period End 12
Primary contact name JACQUELINE STANLEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

QUENTIN MURRAY
PRESIDENT
3738 OLD US 1 HIGHWAY
NEW HILL NC 27562

Officer/Director/Trustee Two

LAMONT SMITH
VICE PRESIDENT
105 BALSAM LANE
SANFORD NC 27330

Officer/Director/Trustee Three

CARRIE BURNETTE
SECRETARY
170 OVER THE HILL LANE
MONCURE NC 27559

Officer/Director/Trustee Four

ANGELA HEILIG
TREASURER
339 ROBIN HOOD LANE
MONCURE NC 27330

Officer/Director/Trustee Five

SHARON JONES
BOARD MEMBER
3205 RIVER BOTTOM ROAD
CARY NC 27519

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/24/18
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S80 - Community Service Clubs
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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name QUENTIN MURRAY
Signature Title PRESIDENT
Signature Date 8/15/18

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