FORM 1023-EZ for SELF CONTROL UPSTATE

Field Data
EIN 86-2196364
Case Number EO-2021099-001004
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SELF CONTROL UPSTATE
Organization’s Mailing Address 24 LAKEVIEW CIR APT 33
City GREENVILLE
State SC
ZIP 29617
Accounting period End 10
Primary contact name AJA TURNER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

AJA TURNER
CHIEF EXECUTIVE OFFICER
439 S BUNCOMBE RD APT 436
GREER SC 29650

Officer/Director/Trustee Two

RICHARD CLINTON
CHIEF OPERATING OFFICER
4 TENNYSON PLACE
DURHAM NC 27704

Officer/Director/Trustee Three

ANIDA HARRIS
CHIEF FINANCIAL OFFICER
127 WEBSTER RD
GREENVILLE SC 29607

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/18/2021
Organization Incorporation State SC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S20 - Community, Neighborhood Development, Improvement (General)
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
Scientific: Yes
Literary: Yes
Public Safety: Yes
Amateur Sports: Yes
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 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 AJA TURNER
Signature Title CHIEF EXECUTIVE OFFICER
Signature Date 3/18/2021

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