FORM 1023-EZ for GREEN STREET EATS

Field Data
EIN 85-3864394
Case Number EO-2020321-000489
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name GREEN STREET EATS
Organization’s Mailing Address 5207 CYPRESS BRANCH RD
City PINELAND
State SC
ZIP 29934
Accounting period End 12
Primary contact name ADRIANE M JOHNSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ADRIANE JOHNSON
CEO
5207 CYPRESS BRANCH RD
PINELAND SC 29934

Officer/Director/Trustee Two

JONATHAN BROWN
COO
2134 DEERFIELD RD
HARDEEVILLE SC 29927

Officer/Director/Trustee Three

JORDAN JOHNSON
ACTIVITES AND LIFE ENRICHMENT DIR
5207 CYPRESS BRANCH RD
PINELAND SC 29934

Officer/Director/Trustee Four

GERMAINE MIDDLETON
COMMUNITY OUTREACH DIR
250 SPRINGTREE RD
COLUMBIA SC 29923

Organization’s website
Organization’s email greenstreeteats1@gmail.com
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/10/2020
Organization Incorporation State SC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code K40 - Nutrition Programs
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 Yes
Donation of funds Yes
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More Yes
Gaming Activity No
Disaster relief assistance No
One Third Support Public No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name ADRIANE JOHNSON
Signature Title CEO
Signature Date 11/12/2020

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