FORM 1023-EZ for FOOTHILLS AGRICULTURE CLUB

Field Data
EIN 83-4616288
Case Number EO-2019191-000292
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FOOTHILLS AGRICULTURE CLUB
Organization’s Mailing Address 142 STONE HARBOR LN
City DOBSON
State NC
ZIP 27017
Accounting period End 12
Primary contact name TIMOTHY GRAY BLEDSOE II
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TIMOTHY BLEDSOE II
PRESIDENT
142 STONE HARBOR LN
DOBSON NC 27017

Officer/Director/Trustee Two

DUSTIN ROGERS
VICE PRESIDENT
1672 TURNER MOUNTAIN RD
MT AIRY NC 27030

Officer/Director/Trustee Three

AMANDA BLEDSOE
TREASURER
142 STONE HARBOR LN
DOBSON NC 27017

Officer/Director/Trustee Four

MAYGHAN WATSON
SECRETARY
769 BRAY FORD RD
DOBSON NC 27017

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/30/19
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O52 - Youth Development - Agricultural
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 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 TIMOTHY BLEDSOE II
Signature Title PRESIDENT
Signature Date 7/8/19

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