FORM 1023-EZ for TRIDENT HEAD INJURY SUPPORT GROUP INC

Field Data
EIN 57-0814290
Case Number EO-2016056-000269
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name TRIDENT HEAD INJURY SUPPORT GROUP INC
Organization’s Mailing Address 1216 DECOY COURT
City MOUNT PLEASANT
State SC
ZIP 29464
Accounting period End 12
Primary contact name ANTHONY MACCHIO-YOUNG
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ANTHONY MACCHIO-YOUNG
PRESIDENT
1216 DECOY CT
MOUNT PLEASANT SC 29464

Officer/Director/Trustee Two

PAIGE FEIGLEY
VICE PRESIDENT
1812 SAM RITTENBERG
CHARLESTON SC 29407

Officer/Director/Trustee Three

MARSHA MIKELL
SECRETARY
1119 TALISMAN RD
MOUNT PLEASANT SC 29464

Officer/Director/Trustee Four

CATHY GAUGE
TREASURER
839 TOLER DRIVE
MOUNT PLEASANT SC 29464

Officer/Director/Trustee Five

RICHARD AUST
BOARD MEMBER
106 GADON ST
CHARLESTON SC 29403

Organization’s website WWW.THEADINJURYSG.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/7/2015
Organization Incorporation State SC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E01 - Alliance/Advocacy Organizations
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 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 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
Signature Title
Signature Date

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