FORM 1023-EZ for PINEVILLE NEIGHBORS PLACE

Field Data
EIN 81-3170672
Case Number EO-2016263-000180
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PINEVILLE NEIGHBORS PLACE
Organization’s Mailing Address PO BOX 986
City PINEVILLE
State NC
ZIP 28134
Accounting period End 12
Primary contact name SHON MCCARLEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JANE SHUTT
PRESIDENT
14904 COGNAC COURT
PINEVILLE NC 28134

Officer/Director/Trustee Two

MARY JO PATTERSON
TREASURER
206 PATTERSON LANE
FORT MILL SC 29707

Officer/Director/Trustee Three

KATHRYN JENKINS
SECRETARY
2209 WEDGEWOOD DRIVE
MATTHEWS NC 28104

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/7/2016
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 Yes
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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