FORM 1023-EZ for SAM DAVIS CHRISTIAN YOUTH CAMP EAST

Field Data
EIN 85-3275465
Case Number EO-2021245-000239
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SAM DAVIS CHRISTIAN YOUTH CAMP EAST
Organization’s Mailing Address 619 WHITESTONE ROAD
City SPARTANBURG
State SC
ZIP 29302
Accounting period End 12
Primary contact name DAN A COLLINS ESQ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TRACY CLARY
DIRECTOR
1019 MATTHEWS CHAPEL ROAD
LAWRENCEVILLE VA 23868

Officer/Director/Trustee Two

JACK MARLAR
DIRECTOR
2161 GREENPOND ROAD
FOUNTAIN INN SC 29644

Officer/Director/Trustee Three

MARK SANDERS
DIRECTOR
619 WHITESTONE ROAD
SPARTANBURG SC 29302

Officer/Director/Trustee Four

DAN BLACKWELL
DIRECTOR
569 GILLIAM ROAD
GREER SC 29651

Organization’s website WWW.SAMDAVISCHRISTIAN.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/1/2020
Organization Incorporation State SC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A80 - Historical Societies, Related Historical Activities
Organization’s purpose Charitable: No
Religious: Yes
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 MARK SANDERS
Signature Title DIRECTOR
Signature Date 8/31/2021

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