FORM 1023-EZ for HOLLY SPRINGS BAPTIST CHURCH CEMETERY ASSOCIATION INC

Field Data
EIN 45-4093882
Case Number EO-2015030-000556
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HOLLY SPRINGS BAPTIST CHURCH CEMETERY ASSOCIATION INC
Organization’s Mailing Address 6248 COOSA COUNTY ROAD 56
City WEOGUFKA
State AL
ZIP 35183
Accounting period End 12
Primary contact name ROCKY W JACKSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ANNIE ROSE GLAZE
PRESIDENT
3036 PLANTERSVILLE ROAD
ALPINE AL 35014

Officer/Director/Trustee Two

ELIZABETH JEAN BRADEN
TREASURER/SECRETARY
6248 COOSA COUNTY ROAD 56
WEOGUFKA AL 35183

Officer/Director/Trustee Three

TERRY WILSON
DIRECTOR
7646 COOSA COUNTY ROAD 18
ROCKFORD AL 35136

Officer/Director/Trustee Four

ANNE EVANS
DIRECTOR
8056 COOSA COUNTY ROAD 56
WEOGUFKA AL 35183

Officer/Director/Trustee Five

JANICE T REAMS
DIRECTOR
1309 BARNETT ROAD
GOODWATER AL 35072

Organization’s website
Organization’s email BRADEN43@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/6/2012
Organization Incorporation State AL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Z99 - Unclassified
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
Signature Title
Signature Date

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