FORM 1023-EZ for COLUMBUS COUNTY FORUM

Field Data
EIN 83-0714472
Case Number EO-2018183-000395
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name COLUMBUS COUNTY FORUM
Organization’s Mailing Address 777 VINSON BLVD
City WHITEVILLE
State NC
ZIP 28472
Accounting period End 12
Primary contact name CURTIS HILL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NANCY HILL
PRESIDENT
777 VINSON BLVD
WHITEVILLE NC 28472

Officer/Director/Trustee Two

SIDNEY HAZEL
VICE PRESIDENT
582 MILL QUARTER ROAD
HALLSBORO NC 28442

Officer/Director/Trustee Three

TISHA JUNIOUS
TREASURER
PO BOX 179
HALLSBORO NC 28442

Officer/Director/Trustee Four

JEWEL REGISTER
SECRETARY
1507 LITTLE STREET
WHITEVILLE NC 28472

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/29/18
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code R40 - Voter Education, Registration
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 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 NANCY HILL
Signature Title PRESIDENT
Signature Date 6/29/18

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