FORM 1023-EZ for KEEP LINCOLN COUNTY BEAUTIFUL INCORPORATED

Field Data
EIN 83-4559991
Case Number EO-2019259-000728
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name KEEP LINCOLN COUNTY BEAUTIFUL INCORPORATED
Organization’s Mailing Address 353 N GENERALS BLVD
City LINCOLNTON
State NC
ZIP 28092
Accounting period End 12
Primary contact name JEANETTE JOHNSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JEANETTE JOHNSON
EXECUTIVE DIRECTOR
5291 CROUSE RD
CROUSE NC 28033

Officer/Director/Trustee Two

PATTY KORN
BOARD OF DIRECTORS
3165 LAKE SHORE RD SOUTH
DENVER NC 28037

Officer/Director/Trustee Three

JOSH GRANT
BOARD OF DIRECTORS
353 N GENERALS BLVD
LINCOLNTON NC 28092

Officer/Director/Trustee Four

MARK CAMPBELL
BOARD OF DIRECTORS
1877 KAWAI RD
LINCOLNTON NC 28092

Officer/Director/Trustee Five

JEAN DERBY
BOARD OF DIRECTORS
4767 REEPSVILLE RD
VALE NC 28168

Organization’s website
Organization’s email KLCBNC@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/16/19
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code C99 - Environmental Quality, Protection, and Beautification N.E.C.
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 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 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 JEANETTE JOHNSON
Signature Title EXECUTIVE DIRECTOR
Signature Date 9/12/19

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