FORM 1023-EZ for MALCOLMS HOUSE

Field Data
EIN 82-1278143
Case Number EO-2017123-000316
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MALCOLMS HOUSE
Organization’s Mailing Address PO BOX 291293
City ELGIN
State SC
ZIP 29229
Accounting period End 3
Primary contact name BILLY YARBROUGH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BILLY YARBROUGH
CHIEF EXECUTIVE OFFICER
1066 PALAMINO LANE
ELGIN SC 29045-2001

Officer/Director/Trustee Two

REGGIE JOHNSON
TREASURER
PO BOX 777
WADLEY GA 30477

Officer/Director/Trustee Three

LEROY WILSON
CHAIRPERSON
128 HEATHER RIDGE
GASTON SC 29053

Officer/Director/Trustee Four

CHRISTOPHER GREGGS
SECRETARY
9 ASHMORE PLACE
COLUMBIA SC 29229

Officer/Director/Trustee Five

JAMES BRYANT
VICE CHAIRPERSON
448 DEERWOOD ST APT 5H
COLUMBIA SC 29205

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/1/2017
Organization Incorporation State SC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O30 - Adult, Child Matching Programs
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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 Yes
One Third Support Gifts No
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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