FORM 1023-EZ for CLAY COUNTY HISTORIC PRESERVATION COMMITTEE

Field Data
EIN 83-1007544
Case Number EO-2019177-000180
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CLAY COUNTY HISTORIC PRESERVATION COMMITTEE
Organization’s Mailing Address 424 BROWN STREET
City CELINA
State TN
ZIP 38551-4014
Accounting period End 12
Primary contact name MELISSA WHITE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MELISSA WHITE
CHAIR
424 BROWN STREET
CELINA TN 38551-4014

Officer/Director/Trustee Two

KEVIN DONALDSON
VICE CHAIR
424 BROWN STREET
CELINA TN 38551-4014

Officer/Director/Trustee Three

PEGGY DAVIS
SECRETARY
424 BROWN STREET
CELINA TN 38551-4014

Officer/Director/Trustee Four

TONYA SPEARS
TREASURER
424 BROWN STREET
CELINA TN 38551-4014

Organization’s website
Organization’s email CLAYHISTPRES@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/12/18
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A80 - Historical Societies, Related Historical Activities
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 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 MELISSA WHITE
Signature Title CHAIR
Signature Date 6/23/19

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