FORM 1023-EZ for COLUMBUS COUNTY HOMETOWN LEGENDS INC
| Field | Data |
|---|---|
| EIN | 87-2211330 |
| Case Number | EO-2021235-000124 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | COLUMBUS COUNTY HOMETOWN LEGENDS INC |
| Organization’s Mailing Address | 1021 TOON ROAD |
| City | WHITEVILLE |
| State | NC |
| ZIP | 28472 |
| Accounting period End | 12 |
| Primary contact name | JERROD MUSTAF |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
JERROD MUSTAF
PRESIDENT
1021 TOON ROAD
WHITEVILLE NC 28472
Officer/Director/Trustee Two
JEAN HAYNES MCDONALD
BOARD MEMBER
1021 TOON ROAD
WHITEVILLE NC 28472
Officer/Director/Trustee Three
RICKY BROWN
BOARD MEMBER
170 NORTHSIDE DRIVE SW APT 205
ATLANTA GA 30313
Officer/Director/Trustee Four
MONCHE SIMMONS
BOARD MEMBER
103 KNIGHTS CV B6
WHITEVILLE NC 28472
Officer/Director/Trustee Five
LEON MCGLOCKTON
BOARD MEMBER
2865 CAMBRIA COURT
CUMMING GA 30041
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 8/18/2021 |
| Organization Incorporation State | NC |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | O50 - Youth Development Programs, Other |
| 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 | 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 | JERROD MUSTAF |
| Signature Title | PRESIDENT |
| Signature Date | 8/19/2021 |
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