FORM 1023-EZ for CHESTNUT HILL NEIGHBORHOOD ASSOCIATION INC

Field Data
EIN 46-3393753
Case Number EO-2015061-000147
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CHESTNUT HILL NEIGHBORHOOD ASSOCIATION INC
Organization’s Mailing Address 207 WEST HARRISON STREET
City SALISBURY
State NC
ZIP 28144
Accounting period End 12
Primary contact name JACK S KEPLEY SR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

PHILLIP CARLTON
PRESIDENT
130 CHESTNUT STREET
SALISBURY NC 28144

Officer/Director/Trustee Two

JACK KEPLEY
VICE PRESIDENT
7255 BRINGLE FERRY ROAD
SALISBURY NC 28146

Officer/Director/Trustee Three

DONNA PRUNKL
SECRETARY
421 S ELLIS STREET
SALISBURY NC 28144

Officer/Director/Trustee Four

JOYCE HEILIG
TREASURER
208 MILFORD HILLS ROAD
SALISBURY NC 28144

Officer/Director/Trustee Five

ALICE MITCHELL
BOARD MEMBER
810 S MAIN STREET APT 107D
SALISBURY NC 28144

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/6/2014
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S20 - Community, Neighborhood Development, Improvement (General)
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 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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