FORM 1023-EZ for SOUTH CAROLINA ASSOCIATION OF PERIANESTHESIA NURSES

Field Data
EIN 57-0914645
Case Number EO-2018079-000238
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SOUTH CAROLINA ASSOCIATION OF PERIANESTHESIA NURSES
Organization’s Mailing Address PO BOX 290806
City COLUMBIA
State SC
ZIP 29229
Accounting period End 12
Primary contact name MARILYN JEFFERIES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MEGAN BURGESS
PRESIDENT
132 MILL HAVEN LANE
LEXINGTON SC 29072

Officer/Director/Trustee Two

HELENA WILLIAMS
VICE PRESIDENT
141 OAK PARK DRIVE
MAULDIN SC 29662

Officer/Director/Trustee Three

MARY JO AZAD
SECRETARY
418 WEST PASSAGE
COLUMBIA SC 29212

Officer/Director/Trustee Four

MARILYN JEFFERIES
TREASURER
109 WESTERN POINTE DRIE
COLUMBIA SC 29229

Officer/Director/Trustee Five

KIM FLAKE
DISTRICT DIRECTOR COMMUNITY AFFAIRS
119 SWANHAVEN DRIVE
LEXINGTON SC 29073

Organization’s website SCAPAN.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/10/83
Organization Incorporation State SC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code U03 - Professional Societies, Associations
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
Scientific: Yes
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name MARILYN JEFFERIES
Signature Title TREASURER
Signature Date 3/15/18

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