FORM 1023-EZ for THE FILL

Field Data
EIN 84-1919568
Case Number EO-2019154-000396
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE FILL
Organization’s Mailing Address 6403 MYSTON LANE
City HUNTERSVILLE
State NC
ZIP 28078
Accounting period End 12
Primary contact name CHRISTINE LEKOVICH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHRISTINE LEKOVICH
OFFICER
6403 MYSTON LANE
HUNTERSVILLE NC 28078

Officer/Director/Trustee Two

JAMES LEKOVICH
OFFICER
6403 MYSTON LANE
HUNTERSVILLE NC 28078

Officer/Director/Trustee Three

ANGELA WHEELER
OFFICER
3917 HALCYON DRIVE
HUNTERSVILLE NC 28078

Officer/Director/Trustee Four

KATHRYN SZULWACH
OFFICER
4105 HALCYON DRIVE
HUNTERSVILLE NC 28078

Officer/Director/Trustee Five

TERESA CAUTHEN
OFFICER
4115 HALCYON DRIVE
HUNTERSVILLE NC 28078

Organization’s website WWW.THEFILL.ORG
Organization’s email CHRISTINELEKOVICH@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/29/19
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X20 - Christian
Organization’s purpose Charitable: No
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 No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name CHRISTINE LEKOVICH
Signature Title OFFICER
Signature Date 5/31/19

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