FORM 1023-EZ for TRI-CITY ASSOCIATION

Field Data
EIN 84-5010556
Case Number EO-2020174-000134
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name TRI-CITY ASSOCIATION
Organization’s Mailing Address 2199 JACK TOUCHBERRY ROAD
City SUMMERTON
State SC
ZIP 29148
Accounting period End 12
Primary contact name SHARON MARTIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHARON MARTIN
CEO
2199 JACK TOUCHBERRY ROAD
SUMMERTON SC 29148

Officer/Director/Trustee Two

ANTONIO GREEN
SPIRITUAL MENTOR
41 SUMTER COURT
MANNING SC 29102

Officer/Director/Trustee Three

STACY MARTIN
DIRECTOR
POST OFFICE BOX 151
SUMMERTON SC 29148

Officer/Director/Trustee Four

SHARON OLIVER
MENTOR/TEACHER
6340 BILL DAVIS RD
SUMMERTON SC 29148

Officer/Director/Trustee Five

CLINTON BETHUNE
MENTOR
1594 LOBLOLLY DRIVE
MANNING SC 29102

Organization’s website
Organization’s email TRICITYASSOCIATION@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/5/2020
Organization Incorporation State SC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B94 - Parent/Teacher Group
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
Scientific: Yes
Literary: Yes
Public Safety: No
Amateur Sports: Yes
Cruelty Prevention: Yes
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 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 SHARON MARTIN
Signature Title CEO
Signature Date 6/19/2020

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