FORM 1023-EZ for PINE ACRES COMMUNITY CENTER AND PARK

Field Data
EIN 56-1744347
Case Number EO-2020226-000275
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PINE ACRES COMMUNITY CENTER AND PARK
Organization’s Mailing Address 402 MCLEAN STREET
City FUQUAY VARINA
State NC
ZIP 27526
Accounting period End 12
Primary contact name BRYAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRYAN HAYNES
CHAIRMAN
407 MCLEAN STREET
FUQUAY VARINA NC 27526

Officer/Director/Trustee Two

PHYLLIS HERRON
VICE-CHAIR
319 RANSOM COURT
FUQUAY VARINA NC 27526

Officer/Director/Trustee Three

LINDA ROGERS
SECETARY
404 BURTON STREET
FUQUAY VARINA NC 27526

Officer/Director/Trustee Four

RUBY HAYNES
TREASURER
407 MCLEAN STREET
FUQUAY VARINA NC 27526

Organization’s website WWW.PINEACRESCC-FV.COM
Organization’s email PINEACRESCC.FV@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/29/1962
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N31 - Community Recreational Centers
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name BRYAN HAYNES
Signature Title CHAIRMAN
Signature Date 8/11/2020

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