FORM 1023-EZ for SOUTH COUNTY MINORITY ACHIEVEMENT COMMITTEE

Field Data
EIN 81-3096702
Case Number EO-2016335-000278
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SOUTH COUNTY MINORITY ACHIEVEMENT COMMITTEE
Organization’s Mailing Address 9057 GALVIN LANE
City LORTON
State VA
ZIP 22079
Accounting period End 12
Primary contact name KIDADA BIVINS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KIDADA BIVINS
CHAIR
9057 GALVIN LANE
LORTON VA 22079

Officer/Director/Trustee Two

SHIRLEY NORMAN-TAYLOR
VICE-CHAIR
8831 ROMMEL DR
LORTON VA 22079

Officer/Director/Trustee Three

CAMILLE NICHOLS
SECRETARY
8238 LAUREL HEIGHTS LOOP
LORTON VA 22079

Officer/Director/Trustee Four

GOLDA HECTOR
TREASURER
8075 STEEPLE CHASE CT
SPRING FIELD VA 22153

Officer/Director/Trustee Five

MONIQUE WATSON
PROGRAM DIRECTOR
7994 ALMEDA CT
LORTON VA 22079

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/2/2016
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B80 - Student Services, Organizations of Students
Organization’s purpose Charitable: No
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 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 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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