FORM 1023-EZ for WEST GAINES COMMUNITY CENTER

Field Data
EIN 45-5376141
Case Number EO-2017114-000171
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name WEST GAINES COMMUNITY CENTER
Organization’s Mailing Address 786 WESLEY CHAPEL ROAD
City LAWRENCEBURG
State TN
ZIP 38464-7557
Accounting period End 12
Primary contact name FRANCIS JONES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

FRANCIS JONES
PRESIDENT
786 WESLEY CHAPEL RD
LAWRENCEBURG TN 38464

Officer/Director/Trustee Two

CAROL KITTRELL
VICE PRESIDENT
1215 MARION DR
LAWRENCEBURG TN 38464

Officer/Director/Trustee Three

ANN OUTLAW
SECRETARY
3368 GRANDADDY RD
LAWRENCEBURG TN 38464

Officer/Director/Trustee Four

CINTHIA CATHEY
TREAS
135 BRINK ST
LAWRENCEBURG TN 38464

Officer/Director/Trustee Five

LASHAWAN BAXTER
REPORTER
2524 HY43S
LEOMA TN 38468

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/7/2017
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S20 - Community, Neighborhood Development, Improvement (General)
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
Signature Title
Signature Date

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