FORM 1023-EZ for MICHAEL DEAN SIGMON JR MEMORIAL FUND

Field Data
EIN 83-4316483
Case Number EO-2020196-000476
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MICHAEL DEAN SIGMON JR MEMORIAL FUND
Organization’s Mailing Address 106 NEZ PERCE DRIVE
City DARLINGTON
State SC
ZIP 29532
Accounting period End 3
Primary contact name ROBERT P JORDAN CPA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DIANE B SIGMON
ADMINISTRATOR
106 NEZ PERCE DRIVE
DARLINGTON SC 29532-4218

Officer/Director/Trustee Two

MICHAEL D SIGMON
BOARD MEMBER
106 NEZ PERCE
DARLINGTON SC 29532-4218

Officer/Director/Trustee Three

MARCUS D SIGMON
BOARD MEMBERF
10861 STOREHOUSE COURT
DAVIDSON NC 28036-7787

Officer/Director/Trustee Four

SARAH BURKE S WHITE
BOARD MEMBER
4 CRESTMERE LANE
TAYLORS SC 29687-3418

Officer/Director/Trustee Five

MARY DEANE S KILGO
BOARD MEMBER
101 CIRCLE DRIVE
DARLINGTON SC 29532-2505

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/8/2019
Organization Incorporation State SC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B82 - Scholarships, Student Financial Aid Services, Awards
Organization’s purpose Charitable: Yes
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 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 DIANE B SIGMON
Signature Title ADMINISTRATOR
Signature Date 6/12/2020

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