FORM 1023-EZ for PATTIS CLOSET

Field Data
EIN 83-2479053
Case Number EO-2018325-000143
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PATTIS CLOSET
Organization’s Mailing Address 360 GOBEY RD
City LANCING
State TN
ZIP 37770
Accounting period End 12
Primary contact name BERNARD FISHER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROBERT HUBBARD
PRESIDENT, DIRECTOR
259 GROSE BRIDGE RD
HARRIMAN TN 37748

Officer/Director/Trustee Two

BERNARD FISHER
SECRETARY, DIRECTOR
124 MONTGOMERY RD
LANCING TN 37770

Officer/Director/Trustee Three

RONALD LAYMANCE
TREASURER, DIRECTOR
120 HENRY HEIDLE LN
WARTBURG TN 37787

Officer/Director/Trustee Four

KATHLEEN BRAUTIGAM
DIRECTOR
142 SHADY REST RD
WARTBURG TN 37787

Officer/Director/Trustee Five

ROY FREELS
DIRECTOR
181 PEA RIDGE RD
SUNBRIGHT TN 37872

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/12/18
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: 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 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 BERNARD FISHER
Signature Title SECRETARY, DIRECTOR
Signature Date 11/19/18

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