FORM 1023-EZ for NKMC MOONSHINE CHAPTER

Field Data
EIN 84-4270234
Case Number EO-2020143-000135
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NKMC MOONSHINE CHAPTER
Organization’s Mailing Address 128 LOST TREE DR
City COLUMBIA
State SC
ZIP 29223
Accounting period End 3
Primary contact name ROGER MCKAY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SEAN CARRIER
PRESIDENT
309 SEATON HALL DR
COLUMBIA SC 29223

Officer/Director/Trustee Two

JEFF OUELLETTE
VICE PRESIDENT
1108 PEPPER RIDGE DR
LUGOFF SC 29078

Officer/Director/Trustee Three

MIKE SOLDATI
SECRETARY
420 LAKEMONT DR
COLUMBIA SC 29229

Officer/Director/Trustee Four

ROGER MCKAY
TREASURER
1205 S FREDERICKSBURG DR
LUGOFF SC 29078

Officer/Director/Trustee Five

EDWARD COREY
SGT AT ARMS
26 COLONY DR
CAMDEN SC 29020

Organization’s website WWW.MOONSHINECHAPTER.COM
Organization’s email OUTKASTNKMC@AOL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/10/2020
Organization Incorporation State SC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W12 - Fund Raising and/or Fund Distribution
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 Yes
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 ROGER MCKAY
Signature Title TREASURER
Signature Date 5/20/2020

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