FORM 1023-EZ for SHOES 4 WATER

Field Data
EIN 47-4777163
Case Number EO-2016034-000089
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SHOES 4 WATER
Organization’s Mailing Address 21 DOLPHIN ST
City GREENVILLE
State SC
ZIP 29605-3708
Accounting period End 12
Primary contact name STEVEN BELL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

STEVEN BELL
PRESIDENT
21 DOLPHIN ST
GREENVILLE SC 29605-3708

Officer/Director/Trustee Two

SAMUEL KIOKO
VICE PRESIDENT
17 LONGLAND DR
GREENVILLE SC 29605-1617

Officer/Director/Trustee Three

BOB ADAMS
TREASURER
823 SE MAIN ST
SIMPSONVILLE SC 29681-7150

Officer/Director/Trustee Four

MIKE SPILLER
SECRETARY
106 NORTHEAST DR
SPARTANBURG SC 29303-6605

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/27/2015
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 Yes
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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