FORM 1023-EZ for PALLADIUM HOSPICE AND PALLATIVE CARE CHARITABLE FOUNDATION INC

Field Data
EIN 32-0603368
Case Number EO-2019353-000190
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PALLADIUM HOSPICE AND PALLATIVE CARE CHARITABLE FOUNDATION INC
Organization’s Mailing Address 10 ENTERPRISE BLVD STE 202
City GREENVILLE
State SC
ZIP 29615
Accounting period End 12
Primary contact name NICOLE CHATELAIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KATHERINE SHAW
PRESIDENT/DIRECTOR
10 ENTERPRISE BLVD ST 202
GREENVILLE SC 29615

Officer/Director/Trustee Two

CHARLES PARKER
VICE PRESIDENT/DIRECTOR
10 ENTERPRISE BLVD ST 202
GREENVILLE SC 29615

Officer/Director/Trustee Three

NICOLE CHATELAIN
SECRETARY/DIRECTOR
10 ENTERPRISE BLVD ST 202
GREENVILLE SC 29615

Officer/Director/Trustee Four

CYNTHIA SIMPSON
TREASURER/DIRECTOR
10 ENTERPRISE BLVD ST 202
GREENVILLE SC 29615

Officer/Director/Trustee Five

JORDAN DESAI
DIRECTOR
10 ENTERPRISE BLVD ST 202
GREENVILLE SC 29615

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/10/2019
Organization Incorporation State DE
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E86 - Patient Services - Entertainment, Recreation
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 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 KATHERINE SHAW
Signature Title PRESIDENT/DIRECTOR
Signature Date 12/17/2019

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