FORM 1023-EZ for LEBANON CEMETERY INC

Field Data
EIN 47-1632953
Case Number EO-2015180-000333
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LEBANON CEMETERY INC
Organization’s Mailing Address 2059 CYPRESS CAMPGROUND ROAD
City RIDGEVILLE
State SC
ZIP 29472
Accounting period End 12
Primary contact name RUSSELL D HILTON - ATTORNEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

RICKY GASKINS
TRUSTEE - CHAIRMAN
2059 CYPRESS CAMPGROUND RD
RIDGEVILLE SC 29472

Officer/Director/Trustee Two

TED WILLARD
TRUSTEE - SECRETARY
2027 CYPRESS CAMPGROUND RD
RIDGEVILLE SC 29472

Officer/Director/Trustee Three

RENEE RUSLER
TRUSTEE - TREASURER
1646 LEBANON RD
RIDGEVILLE SC 29472

Officer/Director/Trustee Four

RENNY HILL
TRUSTEE
1083 LEBANON RD
RIDGEVILLE SC 29472

Officer/Director/Trustee Five

GARY SINGLETARY
TRUSTEE
619 MILL CREEK RD
RIDGEVILLE SC 29472

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/28/2014
Organization Incorporation State SC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X21 - Protestant
Organization’s purpose Charitable: No
Religious: Yes
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 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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