FORM 1023-EZ for CORNERSTONE NEIGHBORHOOD CARE

Field Data
EIN 84-3527614
Case Number EO-2019333-000113
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CORNERSTONE NEIGHBORHOOD CARE
Organization’s Mailing Address 3715 TRUMAN ST
City COLUMBIA
State SC
ZIP 29204
Accounting period End 12
Primary contact name TOMMIE WILSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHERVONNE SIMMONS
SECRETARY
1011 HARVISON STATION CIR
COLUMBIA SC 29063

Officer/Director/Trustee Two

LATRIA SIMMONS
BOARD MEMBER
208 RICHCREEK RD
COLUMBIA SC 29203

Officer/Director/Trustee Three

FELICIA BERRY
TREASURER
111 STAMPORT CIR
IRMO SC 29063

Officer/Director/Trustee Four

ANTHONY MITCHELL
BOARD MEMBER
1025 BELTLINE BLVD
COLUMBIA SC 29204

Officer/Director/Trustee Five

LAMONTE BAILEY
CHAIRMAN
3211 CARVER ST
COLUMBIA SC 29203

Organization’s website
Organization’s email COLUMBIAWILSON3@AOL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/25/19
Organization Incorporation State SC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S20 - Community, Neighborhood Development, Improvement (General)
Organization’s purpose Charitable: Yes
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 Yes
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 SHERVONNE SIMMONS
Signature Title SECRETARY
Signature Date 11/26/19

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