FORM 1023-EZ for CENTER FOR GENERATIONAL HEALTH

Field Data
EIN 85-1382875
Case Number EO-2020196-000269
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CENTER FOR GENERATIONAL HEALTH
Organization’s Mailing Address 707 WINDWARD LN
City DUNCAN
State SC
ZIP 29334
Accounting period End 12
Primary contact name DEVON S TAYLOR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DEVON TAYLOR
CHIEF EXECUTIVE OFFICER, PRESIDENT
707 WINDWARD LANE
DUNCAN SC 29334

Officer/Director/Trustee Two

JACOB MILAM
CHIEF OPERATING OFFICER, VP
306 HILLSBOROUGH DR
GREENVILLE SC 29615

Officer/Director/Trustee Three

TENEALYA LITTLEJOHN
CHIEF FINANCIAL OFFICER, TREASURER
100 CREWS AVE APT B24
ALAMOGORDO NM 88310

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/11/2020
Organization Incorporation State SC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G19 - Nonmonetary Support N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 Yes
Donation of funds Yes
Conducting Activities Outside of United States Yes
Financial transactions with officers No
Unrelated Gross Income $1,000 or More Yes
Gaming Activity No
Disaster relief assistance Yes
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 DEVON TAYLOR
Signature Title CHIEF EXECUTIVE OFFICER, PRESIDENT
Signature Date 6/11/2020

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