FORM 1023-EZ for UPSTATE GEMS

Field Data
EIN 81-4640917
Case Number EO-2021082-000045
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name UPSTATE GEMS
Organization’s Mailing Address 100 COOLBROOK DR
City GREENVILLE
State SC
ZIP 29605-1406
Accounting period End 5
Primary contact name TICA SULLIVAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

GEORGE SINGLETON
MEMBER
29 RIDGEWAY DR
GREENVILLE CA 29605-1406

Officer/Director/Trustee Two

LATECE LOGAN
MEMBER
29 RIDGEWAY DR
GREENVILLE SC 29605

Officer/Director/Trustee Three

WILLENA VANCE
CFO
29 RIDGEWAY DR
GREENVILLE SC 29605

Officer/Director/Trustee Four

TICA SULLIVAN
EXECUTIVE DIRECTOR
100 COOLBROOK DR
GREENVILLE SC 29605

Officer/Director/Trustee Five

PARIS SULLIVAN
DIRECTOR
RIDGEWAY DR
GREENVILLE SC 29605

Organization’s website WWW.UPSTATEGEMS.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/15/2017
Organization Incorporation State SC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name TICA SULLIVAN
Signature Title EXECUTIVE DIRECTOR
Signature Date 1/28/2021
EIN 81-4640917
Case Number EO-2017312-000102
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name UPSTATE GEMS
Organization’s Mailing Address 100 COOLBROOK DRIVE
City GREENVILLE
State SC
ZIP 29605
Accounting period End 5
Primary contact name TICA SULLIVAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TICA SULLIVAN
CEO/EXECUTIVE DIRECTOR
100 COOLBROOK DR
GREENVILLE SC 29605-1406

Officer/Director/Trustee Two

WILENA VANCE
CFO
100 COOLBROOK DR
GREENVILLE SC 29605-1406

Officer/Director/Trustee Three

GEORGE SINGLETON
MEMBER
100 COOLBROOK DR
GREENVILLE SC 29605-1406

Officer/Director/Trustee Four

LATECE LOGAN
SECRETARY
100 COOLBROOK DR
GREENVILLE SC 29605-1406

Officer/Director/Trustee Five

SUNI KELLY
MEMBER
100 COOLBROOK DR
GREENVILLE SC 29605-1406

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/31/17
Organization Incorporation State SC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Y20 - Insurance Providers, 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 TICA SULLIVAN
Signature Title CEO/EXECUTIVE DIRECTOR
Signature Date 11/6/17

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