FORM 1023-EZ for GIBSON VILLAGE DEVELOPMENT CORPORATION LLC

Field Data
EIN 82-1312560
Case Number EO-2017145-000388
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name GIBSON VILLAGE DEVELOPMENT CORPORATION LLC
Organization’s Mailing Address 223 CROWELL DR NW
City CONCORD
State NC
ZIP 28025-4848
Accounting period End 12
Primary contact name MARK HERMANS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

EDGAR H PALSER
PRESIDENT
381 KERR ST
CONCORD NC 28025-4649

Officer/Director/Trustee Two

TARA BENGLE
VICE PRESIDENT
93 GEORGIA
CONCORD NC 28025-4951

Officer/Director/Trustee Three

MARK A HERMANS
SECRETARY
5617 MOUNTIANEER LANE
CONCORD NC 28025-9231

Officer/Director/Trustee Four

ALFRED BROWN
BOARD MEMBER AT LARGE
100 GROVE AVE NW
CONCORD NC 28025-4974

Officer/Director/Trustee Five

REGINA MITCHELL
TREASURER
517 HARRIS ST
CONCORD NC 28025-4458

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/4/2016
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: 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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