FORM 1023-EZ for HARMONY HALL PLANTATION VILLAGE INC

Field Data
EIN 76-0842380
Case Number EO-2016197-000306
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HARMONY HALL PLANTATION VILLAGE INC
Organization’s Mailing Address 1615 RIVER ROAD
City WHITE OAK
State NC
ZIP 28399
Accounting period End 12
Primary contact name HAROLD L LA ROCK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

HAROLD LA ROCK
VICE-PRESIDENT / CEO
67 EAST MEADOW LANE
WHITE OAK NC 28399-9811

Officer/Director/Trustee Two

KENNETH MELVIN
TREASURER
3401 OLD HWY 41
BLADENBORO NC 28320

Officer/Director/Trustee Three

JUDY ELKINS
SECRETARY
5429 NC 211 E
CLARKTON NC 28433

Officer/Director/Trustee Four

BRANDON MOORE
DIRECTOR
330 CAPE OWEN MANOR ROAD
ELIZABETHTOWN NC 28377

Officer/Director/Trustee Five

CINDY HARRELSON
DIRECTOR
805 MERCER MILL ROAD
ELIZABETHTOWN NC 28337

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/29/2006
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W24 - Citizen Participation
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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