FORM 1023-EZ for CANNON MEMORIAL HOSPITAL AUXILIARY

Field Data
EIN 47-4041151
Case Number EO-2015100-000201
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CANNON MEMORIAL HOSPITAL AUXILIARY
Organization’s Mailing Address PO BOX 188
City PICKENS
State SC
ZIP 29671
Accounting period End 9
Primary contact name DONNA K HENDRICKS CPA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

AMANDA COOPER
REGISTERED AGENT
123 WG ACKER DRIVE
PICKENS SC 29671

Officer/Director/Trustee Two

GERALD BLEDSOE
PRESIDENT
206 LOST VALLEY ROAD
PICKENS SC 29671

Officer/Director/Trustee Three

LINDA P AULTMAN
VICE PRESIDENT
223 SPRING VALLEY ROAD
PICKENS SC 29671

Officer/Director/Trustee Four

LINDA L HANEY
TREASURER
224 GINKO RIDGE
PICKENS SC 29671

Officer/Director/Trustee Five

SUE CHILDS
SECRETARY
200 EDENS ROAD
PICKENS SC 29671

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/12/2015
Organization Incorporation State SC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E11 - Single Organization Support
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 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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