SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
OMB No. 1545-0047
2012
Open to Public
Inspection
Name of the organization
Pine Hills Inc
 
Employer identification number

30-0087390
Identifier Return Reference Explanation
  Form 990, Part VI, Section B, line 11 Board receives a copy of the Form 990 prior to its filing
  Form 990, Part VI, Section C, line 19 available upon request
Contact Addresses for Officers, Directors, Etc Form 990, Part VII Gaye Starnes - 1027 Pinehurst Place, McComb, MS 39648. Maureen Clark - 601 Hart Road, McComb, MS 39648. Watkins G. Wild - P.O. Box 725, McComb, MS 39648.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2012

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