FORM 1023-EZ for THE JUSTIN D GROVES MEMORIAL FOUNDATION

Field Data
EIN 83-1504506
Case Number EO-2018222-000198
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE JUSTIN D GROVES MEMORIAL FOUNDATION
Organization’s Mailing Address 401 WILLIE WILSON ROAD
City EASTOVER
State SC
ZIP 29044
Accounting period End 12
Primary contact name SHELBY GROVES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHELBY GROVES
PRESIDENT
401 WILLIE WILSON RD
EASTOVER SC 29044

Officer/Director/Trustee Two

DOROTHY SHULTZ
SECRETARY
365 WILLIE WILSON RD
EASTOVER SC 29044

Officer/Director/Trustee Three

SABRINA FAIRCLOTH
VICE PRESIDENT
104 MINERVA ST
COLUMBIA SC 29209

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/1/18
Organization Incorporation State SC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Z99 - Unclassified
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name SABRINA FAIRCLOTH
Signature Title VICE PRESIDENT
Signature Date 8/8/18

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