FORM 1023-EZ for KOINONIA FOUNDATION

Field Data
EIN 82-2876793
Case Number EO-2018096-000194
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name KOINONIA FOUNDATION
Organization’s Mailing Address 1001 OLD BLUFF ROAD
City H
State SC
ZIP 29061
Accounting period End 12
Primary contact name EMMA MYERS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BLAKELY SCOTT
CHAIRMAN
408 PORTCHESTER DRIVE
COLUMBIA SC 29203

Officer/Director/Trustee Two

BRYANT SUMTER
VICE CHAIRMAN
120 OXFORD COMMONS WAY
COLUM SC 29209

Officer/Director/Trustee Three

RICHARD GOODWIN
SECRETARY
129 BRIDGECREEK DRIVE
COLUMBIA SC 29229

Officer/Director/Trustee Four

MARY JACKSON
ASSISTANT SECRETARY
160 COUNTRY PLACE LANE
HOPKINS SC 29061

Officer/Director/Trustee Five

DACAUNDRA MOSLEY
TREASURER
317 OLD BLUFF ROAD
HOPKINS SC 29061

Organization’s website N/A
Organization’s email KOINONIAFDN1@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/22/17
Organization Incorporation State SC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B92 - Remedial Reading, Reading Encouragement
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: Yes
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 RICHARD GOODWIN
Signature Title SECRETARY
Signature Date 4/4/18

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