FORM 1023-EZ for HOUSE OF CONQUERORS

Field Data
EIN 81-4099695
Case Number EO-2016293-000499
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HOUSE OF CONQUERORS
Organization’s Mailing Address 468 ALLEN DRIVE
City SUMTER
State SC
ZIP 29150
Accounting period End 12
Primary contact name FALECIA MCKNIGHT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

FALECIA MCKNIGHT
CEO/PRESIDENT
468 ALLEN DRIVE
SUMTER SC 29150

Officer/Director/Trustee Two

MICHAEL WALKER
VICE PRESIDENT
1121 ALICE DRIVE
SUMTER SC 29150

Officer/Director/Trustee Three

JAVON WHITE
TREASURE
350 TRAILWOOD DRIVE
SUMTER SC 29154

Officer/Director/Trustee Four

PRISCILLA WOMACK
SECRETARY
845 BAMA LANE
SUMTER SC 29150

Officer/Director/Trustee Five

DINAH SHAW
BOARD MEMBER
14 BROGDON STREET
SUMTER SC 29150

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/20/2016
Organization Incorporation State SC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code L41 - Homeless, Temporary Shelter For
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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 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 Yes
One Third Support Gifts No
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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