FORM 1023-EZ for HOLY CITY WELL-BEING

Field Data
EIN 83-3327369
Case Number EO-2019053-000097
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HOLY CITY WELL-BEING
Organization’s Mailing Address 111 PRESIDENT STREET
City CHARLESTON
State SC
ZIP 29403
Accounting period End 1
Primary contact name MARCUS STEVENSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARCUS STEVENSON
CHAIRMAN OF THE BOARD
111 PRESIDENT ST
CHARLESTON SC 29403

Officer/Director/Trustee Two

LLOYD HALE
SECRETARY
PO BOX 31194
CHARLESTON SC 29417

Officer/Director/Trustee Three

FARRAH HOFFMIRE
BOARD MEMBER
611 RUTLEDGE AVE APT B
CHARLESTON SC 29403

Officer/Director/Trustee Four

DR DAVID MOUNT
ADVISOR
450 W HANES MILL RD 224
WINSTON-SALEM NC 27105

Organization’s website WWW.HOLYCITYWELLBEING.COM
Organization’s email HOLYCITYWELLBEING@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/26/19
Organization Incorporation State SC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F99 - Mental Health, Crisis Intervention N.E.C.
Organization’s purpose Charitable: No
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 MARCUS STEVENSON
Signature Title CHAIRMAN OF THE BOARD
Signature Date 2/20/19

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