FORM 1023-EZ for PALMETTO ASSOCIATION OF LICENSED MIDWIVES

Field Data
EIN 47-2153922
Case Number EO-2015099-000415
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PALMETTO ASSOCIATION OF LICENSED MIDWIVES
Organization’s Mailing Address 850 FLOYD ROAD EXT 850
City SPARTANBURG
State SC
ZIP 29307
Accounting period End 12
Primary contact name CAROLINE CHAMBERS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

RHONDA MCLAIN
PRESIDENT
506 BOYD ST
SPARTANBURG SC 29302

Officer/Director/Trustee Two

JOELLE CEREMY
VICE-PRESIDENT
11421 CANE CROSSING RD APT 1116
CHARLOTTE NC 28277-4235

Officer/Director/Trustee Three

ALEX WAGNER
TREASURER
3036 PARK ST
COLUMBIA SC 29201

Officer/Director/Trustee Four

LORI GIBSON
SECRETARY
2257 KESWICK LN
ROCK HILL SC 29732-8452

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/22/2014
Organization Incorporation State SC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E01 - Alliance/Advocacy Organizations
Organization’s purpose Charitable: No
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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