FORM 1023-EZ for HICKORY GROVE LIONS CHARITIES INC

Field Data
EIN 84-3052939
Case Number EO-2019268-000256
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HICKORY GROVE LIONS CHARITIES INC
Organization’s Mailing Address 3601 E INDEPENDENCE BLVD
City CHARLOTTE
State NC
ZIP 28205
Accounting period End 12
Primary contact name WILLIAM C ODOM
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

GREG EVANGELIST
PRESIDENT
3601 EAST INDEPENDENCE BLVD
CHARLOTTE NC 28205

Officer/Director/Trustee Two

RICK CONDER
INCORPORATOR
4417 RANEY WAY
CHARLOTTE NC 28205

Officer/Director/Trustee Three

DOUG PROCTOR
INCORPORATOR
1022 PREAKNESS ROAD
INDIAN TRAIL NC 28079

Officer/Director/Trustee Four

WILLIAM ODOM
SECRETARY
4036 ABBEYDALE DRIVE
CHARLOTTE NC 28205

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/1/19
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W99 - Public, Society Benefit - Multipurpose and Other 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 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 GREG EVANGELIST
Signature Title PRESIDENT
Signature Date 9/23/19

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