FORM 1023-EZ for THE HALEY GRAVES FOUNDATION

Field Data
EIN 46-2306265
Case Number EO-2021089-000282
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE HALEY GRAVES FOUNDATION
Organization’s Mailing Address PO BOX 191
City SUMMERFIELD
State NC
ZIP 27358
Accounting period End 12
Primary contact name STEVEN GRAVES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TAMMY GRAVES
PRESIDENT
3607 SCARLET HAW COURT
GREENSBORO NC 27410

Officer/Director/Trustee Two

CATHERINE COLLINS
DIRECTOR
121 EASTWIND DRIVE
HIGH POINT NC 27263

Officer/Director/Trustee Three

ANNE PEMBAUER
VICE PRESIDENT
645 BRENT ST
WINSTON SALEM NC 27103

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/6/2015
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D20 - Animal Protection and Welfare
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name TAMMY GRAVES
Signature Title PRESIDENT
Signature Date 2/9/2021

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