FORM 1023-EZ for ANTIOCH RESOURCE CENTER

Field Data
EIN 84-3092857
Case Number EO-2020134-000298
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ANTIOCH RESOURCE CENTER
Organization’s Mailing Address POST OFFICE BOX 130
City LANE
State SC
ZIP 29564
Accounting period End 12
Primary contact name HAZELINE OUTRAM-EVANS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

HAZELINE EVANS
PRESIDENTCHAIRPERSON
POST OFFICE BOX 130
LANE SC 29564

Officer/Director/Trustee Two

MARY GORDON
VICE CHAIR
POST OFFICE BOX 185
LANE SC 29564

Officer/Director/Trustee Three

DAISY BURGESS
TREASURER
425 BROOMSTRAW ROAD
LANE

Officer/Director/Trustee Four

OPHELIA FULTON
SECRETARY
9 MCLEARY AVENUE
LANE SC 29564

Organization’s website
Organization’s email ANTIOCHRC@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/8/2020
Organization Incorporation State SC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W99 - Public, Society Benefit - Multipurpose and Other N.E.C.
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 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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name HAZELINE EVANS
Signature Title PRESIDENTCHAIRPERSON
Signature Date 5/11/2020

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