FORM 1023-EZ for NORMAN LANE JR MEMORIAL PROJECT

Field Data
EIN 47-1727552
Case Number EO-2014310-000056
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name NORMAN LANE JR MEMORIAL PROJECT
Organization’s Mailing Address 722 KEY CORNER STREET
City BROWNSVILLE
State TN
ZIP 38012
Accounting period End 12
Primary contact name AL CLAIBORNE - CHAIR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

AL CLAIBORNE
CHAIR
1024 BROOKMEADE DRIVE
WINSTON-SALEM NC 27106

Officer/Director/Trustee Two

RICHARD CARLTON
TREASURER
722 KEY CORNER STREET
BROWNSVILLE TN 38012

Officer/Director/Trustee Three

BETSY THORNTON
TRUSTEE
57 OLD HIGHWAY 19
BROWNSVILLE TN 38012

Officer/Director/Trustee Four

JOHN CARLOSS
TRUSTEE
5955 WOODWAY PLACE COURT
HOUSTON TX 77057

Officer/Director/Trustee Five

BETTY BELLAMY
TRUSTEE
110 WINDSOR TERRACE DRIVE
NASHVILLE TN 37221

Organization’s website HTTP://WWW.NORMANLANEJRMEMORIALPROJECT.ORG/
Organization’s email ALC@CSB.WFU.EDU
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/24/2014
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A84 - Commemorative Events
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
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
Signature Title
Signature Date

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