FORM 1023-EZ for SOUTH CAROLINA SOCIETY OF NUCLEAR MEDICINE

Field Data
EIN 47-3481132
Case Number EO-2015175-000206
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SOUTH CAROLINA SOCIETY OF NUCLEAR MEDICINE
Organization’s Mailing Address 4959 PLATT SPRINGS RD
City WEST COLUMBIA
State SC
ZIP 29170-1019
Accounting period End 12
Primary contact name KATHI KNIGHT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

HATTIE BRAYBOY
PRESIDENT
2133 STEEPLE VIEW DR
FLORENCE SC 29505-6867

Officer/Director/Trustee Two

HAROLD RILEY JR
PRESIDENT ELECT
140 VANARSDALE DR
WEST COLUMBIA SC 29169-2421

Officer/Director/Trustee Three

SHAWN WILLIAMSON
TREASURER
P O BOX 261
GASTON SC 29053-0261

Officer/Director/Trustee Four

NAKIA ROBINSON
SECRETARY
105 WIGMORE LANE
LEXINGTON SC 29072-7784

Officer/Director/Trustee Five

KATHI KNIGHT
VICE PRESIDENT
4959 PLATT SPRINGS RD
WEST COLUMBIA SC 29170-1019

Organization’s website SCSNM.ORG
Organization’s email ESECRETARY@SCSNM.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/28/2012
Organization Incorporation State SC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code U11 - Single Organization Support
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: Yes
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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