FORM 1023-EZ for STATEMENT MAKE ONE INC

Field Data
EIN 47-3507061
Case Number EO-2015119-000325
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name STATEMENT MAKE ONE INC
Organization’s Mailing Address 9061 PEMBROKE CT
City FORT MILL
State SC
ZIP 29707
Accounting period End 12
Primary contact name MARILYN FELICIA WIGGINS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MARILYN WIGGINS
PRESIDENT
9061 PEMBROKE COURT
FORT MILLS SC 29707

Officer/Director/Trustee Two

GLENN MACK
VICE PRESIDENT
9061 PEMBROKE COURT
FORT MILLS SC 29707

Officer/Director/Trustee Three

LISA ELLIOTT
TREASURER
9061 PEMBROKE COURT
FORT MILLS SC 29707

Officer/Director/Trustee Four

SHAMEKIA WILSON
SECRETARY
9061 PEMBROKE COURT
FORT MILLS SC 29707

Organization’s website
Organization’s email STATEMENTMAKE1@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/7/2015
Organization Incorporation State SC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P99 - Human Services - Multipurpose and Other N.E.C.
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 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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