FORM 1023-EZ for HICKORY SHEPHERDS RANCH ASSOCIATION

Field Data
EIN 84-3104223
Case Number EO-2019266-000335
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HICKORY SHEPHERDS RANCH ASSOCIATION
Organization’s Mailing Address 940 TATE BOULEVARD SE STE 109
City HICKORY
State NC
ZIP 28602
Accounting period End 12
Primary contact name WAYNE DELORIEA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

WAYNE DELORIEA
DIRECTOR
940 TATE BOULEVARD SE STE 109
HICKORY NC 28602

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/1/19
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W01 - Alliance/Advocacy Organizations
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 Yes
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name WAYNE DELORIEA
Signature Title DIRECTOR
Signature Date 9/19/19

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