FORM 1023-EZ for KSG FIGHT FOR LIFE CANCER FOUNDATION INC

Field Data
EIN 81-4958509
Case Number EO-2017184-000120
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name KSG FIGHT FOR LIFE CANCER FOUNDATION INC
Organization’s Mailing Address 1188 AUDREY RD
City MANNING
State SC
ZIP 29102
Accounting period End 12
Primary contact name TUCKER PLAYER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

AUDREY MCCARTHY
MANAGER
1188 AUDREY RD
MANNING SC 29102

Officer/Director/Trustee Two

GLORIA BROWN
BOARD MEMBER
3731 KAISER AVE
COLUMBIA SC 29204

Officer/Director/Trustee Three

DELBERT SINGLETON
BOARD MEMBER
20 OSGODBY COURT
BLYTHEWOOD SC 29016

Officer/Director/Trustee Four

KELLY DIGGS
BOARD MEMBER
3785 DAWSON LANE
REMBERT SC 29128

Officer/Director/Trustee Five

LAURA MURPHY
BOARD MEMBER
1721 EMERALD LANE
COLUMBIA SC 29210

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/24/2016
Organization Incorporation State SC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code H30 - Cancer Research
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 Yes
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 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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