FORM 1023-EZ for IMPACT PICKENS COUNTY FOUNDATION INC

Field Data
EIN 84-1817293
Case Number EO-2019158-000175
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name IMPACT PICKENS COUNTY FOUNDATION INC
Organization’s Mailing Address 1097 S PENDLETON ST STE B BOX 12
City EASLEY
State SC
ZIP 29642
Accounting period End 6
Primary contact name GIGI BRADY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KYLE BLACKWELL
PRESIDENT
1097 S PENDLETON ST STE B BOX 12
EASLEY SC 29642

Officer/Director/Trustee Two

MELVIN WATSON
BOARD MEMBER
140 HUGH LANE
PICKENS SC 29671

Officer/Director/Trustee Three

REBECCA EUTON
BOARD MEMBER
360 CEDAR ROAD
MARIETTA SC 29661

Officer/Director/Trustee Four

STEVEN ALEXANDER
BOARD MEMBER
165 DALTON RD
MARIETTA SC 29661

Officer/Director/Trustee Five

EMILY MAUPIN
BOARD MEMBER
412 CARROL LANE
PICKENS SC 29671

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/30/19
Organization Incorporation State SC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P11 - Single Organization Support
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 No
Donation of funds Yes
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 KYLE BLACKWELL
Signature Title PRESIDENT
Signature Date 6/5/19

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