FORM 1023-EZ for EMJS ADULT DAY CARE

Field Data
EIN 14-1863131
Case Number EO-2018197-000433
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name EMJS ADULT DAY CARE
Organization’s Mailing Address 1404 HARLLEES BRIDGE ROAD
City LITTLE ROCK
State SC
ZIP 29567
Accounting period End 12
Primary contact name MARY JOHNS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MEISHA CARMICAEL
CHAIR
1040 KINNEY COURT
SELLERS SC 29592

Officer/Director/Trustee Two

PAM SALMON
SECRETARY
1834 ACRON DRIVE
DILLON SC 29536

Officer/Director/Trustee Three

SAM FIELDS
TREASURER
2333 JOE DRIVE
DILLON SC 29536

Officer/Director/Trustee Four

MARY JOHNS
DIRECTOR
2330 SPRING STREET
HAMER SC 29547

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/2/07
Organization Incorporation State SC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B20 - Elementary, Secondary Education, K - 12
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 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 MARY JOHNS
Signature Title DIRECTOR
Signature Date 7/13/18

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