FORM 1023-EZ for EMILYS HOUSE LLC

Field Data
EIN 85-0896202
Case Number EO-2020134-000213
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name EMILYS HOUSE LLC
Organization’s Mailing Address 458 SHORE RUSH DRIVE
City PAWLEYS ISLAND
State SC
ZIP 29585
Accounting period End 12
Primary contact name MIRIAM L MATHIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOHN SMITH
EXECUTIVE DIRECTOR
458 SHORE RUSH DRIVE
PAWLEYS ISLAND SC 29585

Officer/Director/Trustee Two

MIRIAM L MATHIS
OFFICER
413 JAMESON DRIVE
PIEDMONT SC 29673

Organization’s website WWW.THEEMILYSMITHFOUNDATION.ORG
Organization’s email INFO@THEEMILYSMITHFOUNDATION.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/1/2020
Organization Incorporation State SC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T23 - Private Operating Foundations
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name MIRIAM L MATHIS
Signature Title OFFICER
Signature Date 5/11/2020

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