FORM 1023-EZ for WIVES OF THE HENRY COUNTY SHERIFFSOFFICE

Field Data
EIN 84-3216895
Case Number EO-2019322-000267
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name WIVES OF THE HENRY COUNTY SHERIFFSOFFICE
Organization’s Mailing Address 72 BONNIE LANE
City BUCHANAN
State TN
ZIP 38222
Accounting period End 12
Primary contact name KIMBERLEY SMITH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KIMBERLEY SMITH
PRESIDENT
72 BONNIE LANE
BUCHANAN TN 38222

Officer/Director/Trustee Two

JESSICA CARROLL
VICE PRESIDENT
1616 VALLEYWOOD DRIVE
PARIS TN 38242

Officer/Director/Trustee Three

YVETTE BARTON
SECRETARY
371 BARRINGTON LANE
PARIS TN 38242

Organization’s website
Organization’s email KBSMITH378@HOTMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/30/19
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: Yes
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 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 KIMBERLEY SMITH
Signature Title PRESIDENT
Signature Date 11/14/19
EIN 84-3216895
Case Number EO-2019322-000267
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name WIVES OF THE HENRY COUNTY SHERIFFS OFFICE
Organization’s Mailing Address 72 BONNIE LANE
City BUCHANAN
State TN
ZIP 38222
Accounting period End 12
Primary contact name KIMBERLEY SMITH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KIMBERLEY SMITH
PRESIDENT
72 BONNIE LANE
BUCHANAN TN 38222

Officer/Director/Trustee Two

JESSICA CARROLL
VICE PRESIDENT
1616 VALLEYWOOD DRIVE
PARIS TN 38242

Officer/Director/Trustee Three

YVETTE BARTON
SECRETARY
371 BARRINGTON LANE
PARIS TN 38242

Organization’s website
Organization’s email KBSMITH378@HOTMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/30/19
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: Yes
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 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 KIMBERLEY SMITH
Signature Title PRESIDENT
Signature Date 11/14/19

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