FORM 1023-EZ for LISA-S SCHOOL HOUSE ROCK ACADEMY

Field Data
EIN 47-4325193
Case Number EO-2015237-000116
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LISA-S SCHOOL HOUSE ROCK ACADEMY
Organization’s Mailing Address P O BOX 26102
City GREENVILLE
State SC
ZIP 29616
Accounting period End 12
Primary contact name LISA BAILEY SWEENEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

LISA SWEENEY
CHAIRMAN
436 WOODBARK CT
MAULDIN SC 29662

Officer/Director/Trustee Two

WILBERT FLOYD
VICE CHAIRMAN
5 CRYSTAL SPRINGS RD 761
GREENVILLE SC 29615

Officer/Director/Trustee Three

MARTHA EVANS
SECRETARY
1013 HARVARD DRIVE
GREENVILLE SC 29605

Officer/Director/Trustee Four

DR MURIEL ANDERSON
TREASURER
112 COX ST
TRAVELERS REST SC 29690

Officer/Director/Trustee Five

JOHN CARTER
MEMBER
105 JODIBROOK CT
MAULDIN SC 29662

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/17/2015
Organization Incorporation State SC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P30 - Children's, Youth Services
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: Yes
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
Signature Title
Signature Date

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