FORM 1023-EZ for CHATUGE SHORES GOLF CLUB INC

Field Data
EIN 47-4596924
Case Number EO-2015212-000548
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CHATUGE SHORES GOLF CLUB INC
Organization’s Mailing Address 260 GOLF COURSE ROAD
City HAYESVILLE
State NC
ZIP 28904
Accounting period End 12
Primary contact name ROBERT C WILLIAMS JR CPA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

RICHARD KELLEY
DIRECTOR
370 CHATUGE SHORES OVERLOOK
HAYESVILLE NC 28904

Officer/Director/Trustee Two

JACKIE STEWART
DIRECTOR
465 CHATUGE SHORES CIRCLE
HAYESVILLE NC 28904

Officer/Director/Trustee Three

BOBBY BURCH
DIRECTOR
95 LICKLOG COURT
HAYESVILLE NC 28904

Officer/Director/Trustee Four

ALISON ASHE
DIRECTOR
36 HIGHWAY 54 E
HAYESVILLE NC 28904

Officer/Director/Trustee Five

MATT ROGERS
DIRECTOR
2907 MYERS CHAPEL ROAD
HAYESVILLE NC 28904

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/3/2015
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S30 - Economic Development
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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