FORM 1023-EZ for HILL CITY ASSOCIATES

Field Data
EIN 81-1511832
Case Number EO-2016053-000324
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HILL CITY ASSOCIATES
Organization’s Mailing Address 1200 WILLS WAY
City FOREST
State VA
ZIP 24551
Accounting period End 12
Primary contact name CONNIE AMOS-PARSONS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

CONNIE AMOS-PARSONS
PRESIDENT
1200 WILLS WAY
FOREST VA 24551

Officer/Director/Trustee Two

JAMES ENOCH
VICE PRESIDENT
1807 BROOKNEAL WAY
RUSTBURG VA 24588

Officer/Director/Trustee Three

JUDY FERGUSON
TREASURER SECRETARY
2317 ATHERHOLT RD APT 14
LYNCHBURG VA 24502

Officer/Director/Trustee Four

CLARISE HICKS
CHAPLAIN
117 MOORMAN DR
MADISON HEIGHTS VA 24572

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/15/2015
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P12 - Fund Raising and/or Fund Distribution
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 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
Signature Title
Signature Date

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