FORM 1023-EZ for MOUNTAIN REST COMMUNITY CLUB

Field Data
EIN 57-0913532
Case Number EO-2015121-000268
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MOUNTAIN REST COMMUNITY CLUB
Organization’s Mailing Address 24
City MOUNTAIN REST
State SC
ZIP 29664-0024
Accounting period End 12
Primary contact name STEVEN ZAHN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JAMES QUEEN
PRESIDENT
7650 HIGHLANDS HWY
MOUNTAIN REST SC 29664

Officer/Director/Trustee Two

MACK MOORE
VICE PRESIDENT
PO BOX 25
MOUNTAIN REST SC 29664-0025

Officer/Director/Trustee Three

SALLY GRAVINO
SECRETARY
PO BOX 23
MOUNTAIN REST SC 29664-0023

Officer/Director/Trustee Four

PATTYANN ALLEN
TREASURER
297 FOURNESS RIDGE ROAD
MOUNTAIN REST SC 29664

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/20/1961
Organization Incorporation State SC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S80 - Community Service Clubs
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
Scientific: Yes
Literary: Yes
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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 Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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