FORM 1023-EZ for FORTS POND ANTIQUE POWER ASSOCIATION

Field Data
EIN 46-2733703
Case Number EO-2016025-000297
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FORTS POND ANTIQUE POWER ASSOCIATION
Organization’s Mailing Address 744 TINDAL RD
City PELION
State SC
ZIP 29123
Accounting period End 12
Primary contact name LYNN RUCKER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JAN GREEN
PRESIDENT, DIRECTOR
1058 MULBERRY ST
PELION SC 29123

Officer/Director/Trustee Two

HARRIETT FLOWERS
SECRETARY, DIRECTOR
630 FORTS POND RD
PELION SC 29123

Officer/Director/Trustee Three

LYNN RUCKER
TREASURER, DIRECTOR
744 TINDAL RD
PELION SC 29123

Organization’s website WWW.PONDPULLERS.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/13/2013
Organization Incorporation State SC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 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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