FORM 1023-EZ for BLUE RIDGE HOPE

Field Data
EIN 83-0804789
Case Number EO-2018190-000617
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BLUE RIDGE HOPE
Organization’s Mailing Address 182 CAROLINA AVENUE
City FOREST CITY
State NC
ZIP 28043
Accounting period End 6
Primary contact name TRAVIS SMITH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TRAVIS SMITH
EXECUTIVE DIRECTOR
182 CAROLINA AVENUE
FOREST CITY NC 28043

Officer/Director/Trustee Two

DANIELLE WILLIAMS
PRESIDENT
242 COTTONWOOD LANE
FOREST CITY NC 28043-8787

Officer/Director/Trustee Three

AMBER GIBSON
VICE PRESIDENT
196 GEORGIA ST
SPINDALE NC 28160-1325

Officer/Director/Trustee Four

JENNIFER GOOSSENS
TREASURER
161 S MAGNOLIA ST
FOREST CITY NC 28043

Officer/Director/Trustee Five

JACKIE HAMPTON
SECRETARY
746 WASHINGTON ST
FOREST CITY NC 28043

Organization’s website WWW.BLUERIDGEHOPE.ORG
Organization’s email TSMITH@BLUERIDGEHOPE.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/11/18
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F60 - Counseling, Support Groups
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 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 JENNIFER GOOSSENS
Signature Title TREASURER
Signature Date 7/6/18

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