FORM 1023-EZ for HERITAGE HILLS

Field Data
EIN 47-2260328
Case Number EO-2014344-000478
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HERITAGE HILLS
Organization’s Mailing Address 3123 HUNSUCKER LANE NW
City BROOKHAVEN
State MS
ZIP 39601
Accounting period End 12
Primary contact name SAMMY HOLCOMB
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

SAMMY HOLCOMB
DIRECTOR
3123 HUNSUCKER LANE NW
BROOKHAVEN MS 39601

Officer/Director/Trustee Two

MISTY HOLCOMB
SECRETARY
3123 HUNSUCKER LANE NW
BROOKHAVEN MS 39601

Officer/Director/Trustee Three

JAMES HUNSUCKER
MEMBER
3171 HUNSUCKER LANE NW
BROOKHAVEN MS 39601

Officer/Director/Trustee Four

KELLY CALCOTE
MEMBER
768 ZETUS ROAD
BROOKHAVEN MS 39601

Organization’s website
Organization’s email HERITAGE.HILLS2014@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/5/2014
Organization Incorporation State MS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P12 - Fund Raising and/or Fund Distribution
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 Yes
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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