FORM 1023-EZ for BARAK NORTON HERITAGE ASSOCIATION INC

Field Data
EIN 81-2161797
Case Number EO-2016239-000097
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BARAK NORTON HERITAGE ASSOCIATION INC
Organization’s Mailing Address 335 LOMBARD LANE
City HIGHLANDS
State NC
ZIP 28741
Accounting period End 12
Primary contact name JACQUELINE STANLEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

GINA HILEMAN
PRESIDENT
109 HUFF ROAD
KINGSTON TN 37763

Officer/Director/Trustee Two

EDISON PICKLESIMER
VICE PRESIDENT
14 PILGRIMS POINT ROAD
GREENVILLE SC 29615

Officer/Director/Trustee Three

SANDRA BRYSON
TREASURER
335 LOMBARD LANE
HIGHLANDS NC 28741

Officer/Director/Trustee Four

FREDA MCCALL
SECRETARY
500 LOMBARD LANE
HIGHLANDS NC 28741

Officer/Director/Trustee Five

SANDRA SWARTZFAGER
BOARD MEMBER
PO BOX 1595
CASHIERS NC 28717

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/8/2015
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S20 - Community, Neighborhood Development, Improvement (General)
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 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
Signature Title
Signature Date

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