FORM 1023-EZ for SUMTER KNIGHTS HOME INCORPORATED

Field Data
EIN 81-2693996
Case Number EO-2018061-000138
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SUMTER KNIGHTS HOME INCORPORATED
Organization’s Mailing Address 140 PINNACLE CT
City SUMTER
State SC
ZIP 29154-6192
Accounting period End 12
Primary contact name JAMES SMITH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JAMES SMITH
PRESIDENT
140 PINNACLE CT
SUMTER SC 29154-6192

Officer/Director/Trustee Two

PAUL KROUSE
VICE-PRESIDENT
130 NASH ST
SUMTER SC 29150-3110

Officer/Director/Trustee Three

WALTER OLBRISH
TREASURER
2036 COLUMBIA CIR
SUMTER SC 29154-6164

Officer/Director/Trustee Four

ROBERT FLURY
SECRETARY
979 SHADOW TRAIL
SUMTER SC 29150-2361

Officer/Director/Trustee Five

FERDINAND KUBALA
TRUSTEE
102 LINDLEY AVE
SUMTER SC 29150-3944

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/7/88
Organization Incorporation State SC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X22 - Roman Catholic
Organization’s purpose Charitable: Yes
Religious: Yes
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 JAMES SMITH
Signature Title PRESIDENT
Signature Date 2/28/18

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