FORM 1023-EZ for CONCRETE ROSE FOUNDATION INCORPORATED

Field Data
EIN 82-5355788
Case Number EO-2018164-000236
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CONCRETE ROSE FOUNDATION INCORPORATED
Organization’s Mailing Address 1021 MARGARET DRIVE
City LADSON
State SC
ZIP 29456
Accounting period End 12
Primary contact name DARRYL CAPLETON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DARRYL CAPLETON
CEO
1021 MARGARET DRIVE
LADSON SC 29456

Officer/Director/Trustee Two

BRANDEN CAPLETON
CFO
1021 MARGARET DRIVE
LADSON SC 29456

Officer/Director/Trustee Three

TYRA WATSON
SECRETARY
1021 MARGARET DRIVE
LADSON SC 29456

Officer/Director/Trustee Four

LORETTA MCCANTS
DIR OF DEVELOPMENT
1021 MARGARET DRIVE
LADSON SC 29456

Officer/Director/Trustee Five

ANDRE MOORE
BOARD OF DIRECTORS
1021 MARGARET DRIVE
LADSON SC 29456

Organization’s website
Organization’s email CONCRETEROSEFOUNDATION1@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/24/18
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: Yes
Educational: Yes
Scientific: Yes
Literary: Yes
Public Safety: Yes
Amateur Sports: Yes
Cruelty Prevention: Yes
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee No
Donation of funds Yes
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 Yes
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 CAPLETON
Signature Title CEO
Signature Date 6/11/18

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