FORM 1023-EZ for SHARON ELIZABETH DIALYSIS CENTER OFHOPE INC

Field Data
EIN 83-1352573
Case Number EO-2018247-000760
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SHARON ELIZABETH DIALYSIS CENTER OFHOPE INC
Organization’s Mailing Address 1101 SUNSET RD 681805
City CHARLOTTE
State NC
ZIP 28216
Accounting period End 12
Primary contact name C MARIA MACON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

STEPHANIE R SMALLWOOD
PRESIDENT
3312 LEMONGRASS LANE
CHARLOTTE NC 28214

Officer/Director/Trustee Two

BRIAN C SMALLWOOD
VICE PRESIDENT
1420 IVY MEADOW DR 1322
CHARLOTTE NC 28213

Officer/Director/Trustee Three

BETH ANN DICKENS
SECRETARY
311 CONGRESS ST
NEWPORT NEWS VA 23608

Officer/Director/Trustee Four

CRISTIAN ESPINAL
TREASURER
6602 CRAGLAND CT
CHARLOTTE NC 28269

Officer/Director/Trustee Five

VERDIS O GRIFFIN
DIRECTOR
35 DARTMONT AVE
BUFFALO NY 14215

Organization’s website
Organization’s email PS27STEP@AOL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/27/18
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E70 - Public Health Program (Includes General Health and Wellness Promotion Services)
Organization’s purpose Charitable: Yes
Religious: No
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 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 STEPHANIE R SMALLWOOD
Signature Title PRESIDENT
Signature Date 9/1/18

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