FORM 1023-EZ for HEMPSTEAD FARM INC

Field Data
EIN 83-4156295
Case Number EO-2019092-000145
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HEMPSTEAD FARM INC
Organization’s Mailing Address 4910 PAGELAND HWY
City MONROE
State NC
ZIP 28112
Accounting period End 12
Primary contact name KIPLING GODWIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DANIEL KYPENA
PRESIDENT
4910 PAGELAND HWY
MONROE NC 28112

Officer/Director/Trustee Two

MARGARET KYPENA
VICE PRESIDENT
4910 PAGELAND HWY
MONROE NC 28112

Officer/Director/Trustee Three

TOM ALVIS
SECRETARY-TREASURER
8832 BLAKENEY PROF DR STE 301
CHARLOTTE NC 28277

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/20/19
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code K01 - Alliance/Advocacy Organizations
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 No
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More Yes
Gaming Activity No
Disaster relief assistance No
One Third Support Public Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name DANIEL KYPENA
Signature Title PRESIDENT
Signature Date 3/29/19

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