FORM 1023-EZ for HAYSLOPE PRESERVATION HISTORIC FUND

Field Data
EIN 87-1846138
Case Number EO-2021214-000176
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HAYSLOPE PRESERVATION HISTORIC FUND
Organization’s Mailing Address 203
City PINE LAKE
State GA
ZIP 30072
Accounting period End 6
Primary contact name KC WILDMOON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KC WILDMOON
PRESIDENT
444 HEMLOCK DRIVE
PINE LAKE GA 30072-0203

Officer/Director/Trustee Two

RHONDA RENO
DIRECTOR
499 MAGNOLIA DRIVE
PINE LAKE GA 30072-0193

Officer/Director/Trustee Three

MARGARET WILLIAMS
SECRETARY
499 MAGNOLIA DRIVE
PINE LAKE GA 30072-0193

Officer/Director/Trustee Four

MEGAN GREY
DIRECTOR
185 BROWNLEE ROAD NUMBER 6
CALHOUN LA 71225

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/26/2021
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A80 - Historical Societies, Related Historical Activities
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 KC WILDMOON
Signature Title PRESIDENT
Signature Date 7/29/2021

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