FORM 1023-EZ for CHARLES G KAREN L SIMS FOUNDATIONINC

Field Data
EIN 81-3586832
Case Number EO-2016291-000157
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CHARLES G KAREN L SIMS FOUNDATIONINC
Organization’s Mailing Address 7709-B BECKETT ROAD
City BROWNS SUMMIT
State NC
ZIP 27214
Accounting period End 12
Primary contact name TODD JACKSON - CPA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KAREN SIMS
PRESIDENT
7709-B BECKETT ROAD
BROWNS SUMMIT NC 27214

Officer/Director/Trustee Two

WILLIAM MCLAUGHLIN
VICE PRESIDENT
17959 BLUEGRASS ROAD
RAMONA CA 92065

Officer/Director/Trustee Three

HEIDI JO MCLAUGHLIN
SECRETARY
17959 BLUEGRASS ROAD
RAMONA CA 92065

Officer/Director/Trustee Four

HERBERT PARKS
TREASURER
808 BASS LANDING PLACE
GREENSBORO NC 27455

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/20/2016
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T22 - Private Independent Foundations
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
Scientific: Yes
Literary: Yes
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 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
Signature Title
Signature Date

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