FORM 1023-EZ for CALEDONIA TOUCHDOWN CLUB

Field Data
EIN 86-2819750
Case Number EO-2021189-000091
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CALEDONIA TOUCHDOWN CLUB
Organization’s Mailing Address 374 CHAN MAR DR
City CALEDONIA
State MS
ZIP 39740
Accounting period End 12
Primary contact name JASON COUNTS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JASON COUNTS
PRESIDENT
374 CHAN MAR DR
CALEDONIA MS 39740

Officer/Director/Trustee Two

NATARSHA SHELLMAN
VICE PRESIDENT
16 DANNER DR
CALEDONIA MS 39740

Officer/Director/Trustee Three

CALLIE SHELNUT
TREASURER
381 PEBBLE CREEK ROAD
STEENS MS 39766

Officer/Director/Trustee Four

JENNIFER JOHNSTON
SECRETARY
195 DODSON ROAD
CALEDONIA MS 39740

Officer/Director/Trustee Five

KEVIN CARWYLE
REPORTER
148 FRYE CIRCLE
CALEDONIA MS 39740

Organization’s website
Organization’s email CALEDONIA.TDCLUB@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/24/2021
Organization Incorporation State MS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: No
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
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 JASON COUNTS
Signature Title PRESIDENT
Signature Date 7/6/2021

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