FORM 1023-EZ for SKIN IM IN

Field Data
EIN 82-1706850
Case Number EO-2019197-000130
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SKIN IM IN
Organization’s Mailing Address 1604 B AVE
City WEST COLUMBIA
State SC
ZIP 29169
Accounting period End 8
Primary contact name AUBURN WIDEMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

AUBURN WIDEMAN
EXECUTIVE DIRECTOR
1604 B AVENUE
WEST COLUMBIA SC 29169

Officer/Director/Trustee Two

LAUREN MIMS
DIRECTOR OF PROGRAMMING
1604 B AVENUE
WEST COLUMBIA SC 29169

Officer/Director/Trustee Three

FRANCINE TAMAKLOE
DIRECTOR OF STRATEGIC PLANNING
668 MACDONOUGH ST 3
BROOKLYN NY 11233

Organization’s website WWW.SKINIMIN.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/2/17
Organization Incorporation State SC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O99 - Youth Development N.E.C.
Organization’s purpose Charitable: Yes
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 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 AUBURN WIDEMAN
Signature Title EXECUTIVE DIRECTOR
Signature Date 7/14/19

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