FORM 1023-EZ for PRIMETIME THERAPY SERVICES VOLUNTEER GROUP

Field Data
EIN 47-5020834
Case Number EO-2015323-000218
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PRIMETIME THERAPY SERVICES VOLUNTEER GROUP
Organization’s Mailing Address 115 HARRY C RAYSOR DR
City SAINT MATTHEWS
State SC
ZIP 29135
Accounting period End 12
Primary contact name DONALD EUGENE FRYER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DONALD FRYER
PRESIDENT
115 HARRY C RAYSOR DR
SAINT MATTHEWS SC 29135

Officer/Director/Trustee Two

ANDREW ARILD
SECRETARY TREASURER
1850 PRUNE RIDGE AVE NO 18
SANTA CLARA CA 95050

Officer/Director/Trustee Three

JONATHAN HICKS
DIRECTOR
674 PELZER DR
MOUNT PLEASANT SC 29464

Organization’s website PRIMETIMETHERAPYSERVICESVOLUNTEERGROUP.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/9/2015
Organization Incorporation State SC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E50 - Rehabilitative Medical Services
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 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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