| Field | Data |
|---|---|
| EIN | 83-2703634 |
| Case Number | EO-2019056-000592 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | UPSTATE-CAROLINA ADAPTIVE GOLF |
| Organization’s Mailing Address | 11506 ANDERSON RD |
| City | GREENVILLE |
| State | SC |
| ZIP | 29611 |
| Accounting period End | 12 |
| Primary contact name | BRANDON WORLEY |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
BRANDON WORLEY
CHIEF EXECUTIVE OFFICER
25 LOUISE AVE
GREENVILLE SC 29617
DAVID ROACHEVILLE
CHIEF FINANCIAL OFFICER
111 W CAROLINA ST
DUNCAN SC 29334
CONNER MAGAR
DIRECTOR OF THERAPY
11506 ANDERSON RD
GREENVILLE SC 29611
RICK LUCAS
CHAIRPERSON
11506 ANDERSON RD
GREENVILLE SC 29611
ROBBIE BIERSHENK
CHAIRPERSON
11506 ANDERSON RD
GREENVILLE SC 29611
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 10/28/18 |
| 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 | 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 | No |
| Correctness Declaration | Yes |
| Signature Name | BRANDON WORLEY |
| Signature Title | CHIEF EXECUTIVE OFFICER |
| Signature Date | 2/22/19 |
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