FORM 1023-EZ for KINGDOM CARE FOR SENIORS INC

Field Data
EIN 47-4901743
Case Number EO-2017062-000395
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name KINGDOM CARE FOR SENIORS INC
Organization’s Mailing Address 5 LONG PINEVIEW CT
City GREER
State SC
ZIP 29651
Accounting period End 6
Primary contact name CHERYL CROSBY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHERYL CROSBY
PRESIDENT
5 LONG PINEVIEW CT
GREER SC 29651

Officer/Director/Trustee Two

JACQUELINE RIDGEWAY
VICE PRESIDENT
107 POPLAR DRIVE
SIMPSONVILLE SC 29681

Officer/Director/Trustee Three

TABATHA HADEN
SECRETARY
170 ROCKY KNOLL DR
ROEBUCK SC 29376

Officer/Director/Trustee Four

MARTHA MCABEE
TREASURER
884 GRAND CANYON DR
LYMAN SC 29639

Organization’s website
Organization’s email CSQUARE65@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/12/2015
Organization Incorporation State SC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 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
Signature Title
Signature Date

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