FORM 1023-EZ for HELLFIRE CLUB INC

Field Data
EIN 82-3126256
Case Number EO-2018005-000162
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HELLFIRE CLUB INC
Organization’s Mailing Address 1958 LAKE DRIVE
City WINSTON-SALEM
State NC
ZIP 27127
Accounting period End 1
Primary contact name JASON MELIUS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SCOTT DOUGLAS
CHARMAN
502 RUSSELL ST APT 7
STATESVILLE NC 28677

Officer/Director/Trustee Two

ANNA KIEFER
CHARMAN
12815 TURNER ESTATES DR
BROADWAY VA 22815

Officer/Director/Trustee Three

JASON MELIUS
SECRETARY
1958 LAKE DR
WINSTON-SALEM NC 27127

Officer/Director/Trustee Four

DREW NEILL
TREASURER
1229 E HARDEN ST
GRAHAM NC 27253

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/9/17
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A80 - Historical Societies, Related Historical Activities
Organization’s purpose Charitable: No
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 JASON MELIUS
Signature Title SECRETARY
Signature Date 1/3/18

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