FORM 1023-EZ for DR WF GIBSON SR SINGLE MEMBER CANCUS

Field Data
EIN 86-3890824
Case Number EO-2021161-000408
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name DR WF GIBSON SR SINGLE MEMBER CANCUS
Organization’s Mailing Address P O BOX 16192
City GREENVILLE
State SC
ZIP 29606
Accounting period End 12
Primary contact name TERRI NGOBILI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CLENT WHARTON
PRESIDENT
85 PARK CIRCLE
GREENVILLE SC 29605

Officer/Director/Trustee Two

TERRI NGOBILI
SECRETARY
P O BOX 995
PINE LAKE GA 30072

Organization’s website
Organization’s email SMDOFSOUTHCAROLINA@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/17/2021
Organization Incorporation State SC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S30 - Economic Development
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name TERRI NGOBILI
Signature Title SECRETARY
Signature Date 6/9/2021

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