FORM 1023-EZ for HAMPTON COUNTY DISABILITIES AND SPECIAL NEEDS BOARD FOUNDATION

Field Data
EIN 57-0679068
Case Number EO-2017184-000283
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HAMPTON COUNTY DISABILITIES AND SPECIAL NEEDS BOARD FOUNDATION
Organization’s Mailing Address 294 HAMPTON RD
City VARNVILLE
State SC
ZIP 29944
Accounting period End 6
Primary contact name ELISE MCQUIRE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ELISE MCQUIRE
EXECUTIVE DIRECTOR
294 HAMPTON RD
VARNVILLE SC 29944

Officer/Director/Trustee Two

MARY ENNIS
CHAIRPERSON
624 CHOCOLATE CITY ROAD
ESTILL SC 29918

Officer/Director/Trustee Three

RUSSELL LAFFITTE
VICE-CHAIRPERSON
PO BOX 793
HAMPTON SC 29924

Officer/Director/Trustee Four

MATTHEW GRAHAM
SECRETARY
505 SHAW DRIVE
HAMPTON SC 29924

Officer/Director/Trustee Five

WANDA DEWITT
TREASURER
3120 SPEED LIMIT ROAD
VARNVILLE SC 29944

Organization’s website
Organization’s email ELISEMAC@HCBDSN.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/22/2017
Organization Incorporation State SC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P82 - Developmentally Disabled Centers, Services
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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
Signature Title
Signature Date

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