FORM 1023-EZ for GHHS BLACK FALCONS

Field Data
EIN 47-1598460
Case Number EO-2014268-000421
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name GHHS BLACK FALCONS
Organization’s Mailing Address 2500 CARPENTER UPCHURCH ROAD
City CARY
State NC
ZIP 27519
Accounting period End 6
Primary contact name KAREN BAINBRIDGE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

KAREN BAINBRIDGE
PRESIDENT
213 WALCOTT WAY
CARY NC 27519

Officer/Director/Trustee Two

KAREN ESPENHAHN
TREASURER
101 PARKVINE CIRCLE
CARY NC 27519

Officer/Director/Trustee Three

CHRISTOPHER GAW
FACULTY ADVISOR
2500 CARPENTER UPCHURCH ROAD
CARY NC 27519

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/23/2014
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B11 - Single Organization Support
Organization’s purpose Charitable: No
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 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 Yes
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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