FORM 1023-EZ for MIDSOUTH COMMUNITY CENTER SERVICESFOR THE DEAF AND HARD OF HEARING

Field Data
EIN 26-2545086
Case Number EO-2015084-000207
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MIDSOUTH COMMUNITY CENTER SERVICESFOR THE DEAF AND HARD OF HEARING
Organization’s Mailing Address PO BOX 381467
City GERMANTOWN
State TN
ZIP 38183
Accounting period End 12
Primary contact name CONNIE ROBINSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

CONNIE ROBINSON
DIRECTOR/PRESIDENT
2640 CEDAR RIDGE DR
GERMANTOWN TN 38138

Officer/Director/Trustee Two

KRISTEN BELOATE
DIRECTOR
676 HERMITAGE TRAIL DR
COLLIERVILLE TN 38017

Officer/Director/Trustee Three

BARBARA WILLIAMS
DIRECTOR
7834 DERBY LANE APT 101
CORDOVA TN 38018

Officer/Director/Trustee Four

GEORGE HODGE
SECRETARY
4495 LEATHERWOOD AVE
MEMPHIS TN 38117

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/23/2008
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: Yes
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 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 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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