FORM 1023-EZ for CEDAR GROVE NEIGHBORHOOD ASSOCIATION

Field Data
EIN 81-3325841
Case Number EO-2016321-000169
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CEDAR GROVE NEIGHBORHOOD ASSOCIATION
Organization’s Mailing Address 5800 HWY 86N
City HILLSBOROUGH
State NC
ZIP 27278-8935
Accounting period End 6
Primary contact name EDMUND C TIRYAKIAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

VIVIAN HERNDON-LATTA
CHAIRMAN OF THE BOARD
PO BOX 936
HILLSBOROUGH NC 27278-0936

Officer/Director/Trustee Two

CARRIE SUE FLORENCE
PRESIDENT
6421 WILKERSON ROAD
CEDAR GROVE NC 27231-9300

Officer/Director/Trustee Three

EDMUND TIRYAKIAN
TREASURER
2908 ERICKA DRIVE
HILLSBOROUGH NC 27278-8848

Officer/Director/Trustee Four

SHEILA VANHOOK MCDONALD
SECRETARY
3965 CLEARVIEW DRIVE
MEBANE NC 27302-9719

Officer/Director/Trustee Five

DANITA THOMPSON
VICE PRESIDENT
413 LAKE ORANGE ROAD
HILLSBOROUGH NC 27278-8213

Organization’s website
Organization’s email CGNA4U@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/24/2016
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N31 - Community Recreational Centers
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 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 Yes
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
Signature Title
Signature Date

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