FORM 1023-EZ for CAROLINA SUPREME SC

Field Data
EIN 83-4545828
Case Number EO-2019142-000324
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CAROLINA SUPREME SC
Organization’s Mailing Address 12 ANNIE TINDAL RD APT 2A
City SUMMERTON
State SC
ZIP 29148
Accounting period End 4
Primary contact name ADRIAN COARD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DORIS EPPS
TREASURER
2031 KINGSTREE HWY
MANNING SC 29102

Officer/Director/Trustee Two

SABRINA RAGIN
SECRETARY
1107 MEDALFIELD DRIVE APT 2F
SUMMERTON SC 29148

Officer/Director/Trustee Three

MARTELL ADAMS
VICE-PRESIDENT
3875 BOMAR LN
PINEWOOD SC 29125

Officer/Director/Trustee Four

ADRIAN COARD
PRESIDENT
12 ANNIE TINDAL RD APT 2A
SUMMERTON SC 29148

Organization’s website
Organization’s email CAROLINASUPREMESC@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/26/19
Organization Incorporation State SC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N70 - Amateur Sports Competitions
Organization’s purpose Charitable: No
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
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 Yes
Correctness Declaration Yes
Signature Name ADRIAN COARD
Signature Title PRESIDENT
Signature Date 5/20/19

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