| Field | Data |
|---|---|
| EIN | 83-2744721 |
| Case Number | EO-2019105-000471 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | HINES FAMILY SERVICES |
| Organization’s Mailing Address | 201 DALEWOOD DRIVE UNIT 34 |
| City | WINSTON SALEM |
| State | NC |
| ZIP | 27104 |
| Accounting period End | 10 |
| Primary contact name | DERRICK HINES |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
DERRICK HINES
EXECUTIVE DIRECTOR
201 DALEWOOD DRIVE UNIT 34
WINSTON SALEM NC 27104
NICOLE JILES
TREASURER
468 SPRINGBROOK DRIVE
KERNERSVILLE NC 27284
THARIN GREEN
SECRETARY
5735 HICKORY KNOLL DRIVE
WINSTON SALEM NC 27104
| Organization’s website | |
|---|---|
| Organization’s email | HINESFAMILYSERVICES@MAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 10/24/18 |
| Organization Incorporation State | NC |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | F33 - Group Home, Residential Treatment Facility - Mental Health Related |
| Organization’s purpose | Charitable: Yes Religious: Yes 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 | No |
| Seeking Section 7 Reinstatement | No |
| Correctness Declaration | Yes |
| Signature Name | DERRICK HINES |
| Signature Title | EXECUTIVE DIRECTOR |
| Signature Date | 4/12/19 |
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