FORM 1023-EZ for RUN FOR HOLLAND FOUNDATION

Field Data
EIN 81-1337671
Case Number EO-2018317-000530
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name RUN FOR HOLLAND FOUNDATION
Organization’s Mailing Address 141 HIGHLAND AVENUE
City SPRUCE PINE
State NC
ZIP 28777
Accounting period End 12
Primary contact name ADAM BURLESON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ADAM BURLESON
PRESIDENT
45 BLUE SKY DRIVE
SPRUCE PINE NC 28777

Officer/Director/Trustee Two

BROOKE BURLESON
VICE PRESIDENT
45 BLUE SKY DRIVE
SPRUCE PINE NC 28777

Officer/Director/Trustee Three

HEATHER BURLESON
BOARD MEMBER
434 WAGNER STREET
TROUTMAN NC 28166

Officer/Director/Trustee Four

COREY RUNYON
BOARD MEMBER
212 OLD DALE ROAD
SPRUCE PINE NC 28777

Officer/Director/Trustee Five

BRYAN THAYER
BOARD MEMBER
WILSON ROAD
BAKERSVILLE NC 28705

Organization’s website WWW.RUNFORHOLLAND.COM
Organization’s email RUNFORHOLLAND@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/5/16
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B12 - Fund Raising and/or Fund Distribution
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 No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name BROOKE BURLESON
Signature Title VICE PRESIDENT
Signature Date 11/11/18

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