FORM 1023-EZ for PINE VALLEY HOMEOWNERS ASOCIATION

Field Data
EIN 56-2208992
Case Number EO-2019233-000130
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PINE VALLEY HOMEOWNERS ASOCIATION
Organization’s Mailing Address 1700 LONGLEAF DRIVE
City CHARLOTTE
State NC
ZIP 28210
Accounting period End 12
Primary contact name AL ROGERS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LORETTA LEWIS
PRESIDENT
1910 LONGLEAF DRIVE
CHARLOTTE NC 28210

Officer/Director/Trustee Two

DEBORA ANTHONY
VICE-PRESIDENT
9400 LODGEPOLE PLACE
CHARLOTTE NC 28210

Officer/Director/Trustee Three

STEPHANIE CATHY
SECRETARY
2405 LONGLEAF DRIVE
CHARLOTTE NC 28210

Officer/Director/Trustee Four

FRANCIS HUNTLEY
TREASURER
9424 LLODGEPOLE PLACE
CHARLOTTE NC 28210

Officer/Director/Trustee Five

ALLAN ROGERS
BOARD MEMBER AT LARGE
4751 MOUNT ROYAL LANE
CHARLOTTE NC 28210

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/25/18
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S20 - Community, Neighborhood Development, Improvement (General)
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 ALLAN ROGERS
Signature Title BOARD MEMBER AT LARGE
Signature Date 8/19/19

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