FORM 1023-EZ for SOUTH CENTRAL EMS DIRECTORS ASSOCIATION

Field Data
EIN 83-2030660
Case Number EO-2019162-000130
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SOUTH CENTRAL EMS DIRECTORS ASSOCIATION
Organization’s Mailing Address 119 FRANK MARTIN ROAD
City SHELBYVILLE
State TN
ZIP 37160
Accounting period End 12
Primary contact name BRETT YOUNG
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRETT YOUNG
PRESIDENT
142 PLEASANT WAY
SHELBYVILLE TN 37160

Officer/Director/Trustee Two

CHAD BROWN
VICE PRESIDENT
175 HOWELL HILL ROAD
FAYETTEVILLE TN 37334

Officer/Director/Trustee Three

GREG EATON
TREASURER
295 KILBURN HOLLOW ROAD
WAYNESBORO TN 38485

Officer/Director/Trustee Four

JEANNE YEATMAN
SECRETARY
903 FRANKLIN ROAD
BRENTWOOD TN 37027

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/1/14
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B11 - Single Organization Support
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
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 BRETT YOUNG
Signature Title PRESIDENT
Signature Date 6/7/19

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