FORM 1023-EZ for KIMBERLY PARK TENNIS ASSOCIATION

Field Data
EIN 84-2018333
Case Number EO-2019171-000365
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name KIMBERLY PARK TENNIS ASSOCIATION
Organization’s Mailing Address 5752 WINDWORTH DRIVE
City WINSTON-SALEM
State NC
ZIP 27106-9784
Accounting period End 12
Primary contact name DARRYL BENBOW
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ARNICE WALL
PRESIDENT
3011 NORTHWOOD DRIVE APT 905
WINSTON-SALEM NC 27106-3940

Officer/Director/Trustee Two

DARRYL BENBOW
VICE PRESIDENT
5752 WINDWORTH DRIVE
WINSTON-SALEM NC 27106-9784

Officer/Director/Trustee Three

AUDREY MICKENS
SECRETARY
5515 ANGEL OAKS DRIVE
WINSTON-SALEM NC 27105-9113

Officer/Director/Trustee Four

CASSANDRA WILLIAMS
TREASURER
208 HAWKS NEST CIRCLE
CLEMMONS NC 27012-7475

Officer/Director/Trustee Five

DENISE ADAMS
HISTORIAN
3661 MARLOWE AVE
WINSTON-SALEM NC 27106-4118

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/16/80
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N66 - Tennis, Racquet Sports Clubs, Leagues
Organization’s purpose Charitable: No
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
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 DARRYL BENBOW
Signature Title VICE PRESIDENT
Signature Date 6/18/19

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