FORM 1023-EZ for GROVE PARK NEIGHBORHOOD ASSOCIATIONINC

Field Data
EIN 47-1986527
Case Number EO-2014317-000071
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name GROVE PARK NEIGHBORHOOD ASSOCIATIONINC
Organization’s Mailing Address 6700 LINDA LAKE DRIVE
City CHARLOTTE
State NC
ZIP 28215
Accounting period End 12
Primary contact name TERRY VICKERY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

PAMELA DAVIS
PRESIDENT
6700 LINDA LAKE DRIVE
CHARLOTTE NC 28215

Officer/Director/Trustee Two

EMILY WU
VICE PRESIDENT
7103 PRESTON COURT
CHARLOTTE NC 28215

Officer/Director/Trustee Three

DEBBIE TIPTON
SECRETARY
7429 FARMGATE
CHARLOTTE NC 28215

Officer/Director/Trustee Four

SHERRY VICKERY
TREASURER
6709 TERRY LANE
CHARLOTTE NC 28215

Officer/Director/Trustee Five

KAYE WALSH
SOCIAL CHAIR
7212 E LAKESIDE DRIVE
CHARLOTTE NC 28215

Organization’s website HTTP://WWW.GROVE-PARK.ORG/GPNA2012/GPNA.HTML
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/3/2014
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S22 - Neighborhood, Block Associations
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
Signature Title
Signature Date

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