FORM 1023-EZ for MATTHEWS WAY

Field Data
EIN 81-2480112
Case Number EO-2016202-000427
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MATTHEWS WAY
Organization’s Mailing Address 1707 DELWOOD CIRCLE
City GREENEVILLE
State TN
ZIP 37745-1537
Accounting period End 12
Primary contact name KIMBERLY RUSSELL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KIMBERLY RUSSELL
PRESIDENT TREASURER DIRECTOR
1707 DELWOOD CIRCLE
GREENEVILLE TN 37745-1537

Officer/Director/Trustee Two

LISA BAUSELL
DIRECTOR
157 BOB CLARK ROAD
JONESBOROUGH TN 37659

Officer/Director/Trustee Three

LORRAINE AMOS
SECRETARY AND DIRECTOR
5465 HORTON HIGHWAY
GREENEVILLE TN 37745

Officer/Director/Trustee Four

ANGIE CLENDENON
DIRECTOR
1210 UPLAND AVENUE
GREENEVILLE TN 37743

Officer/Director/Trustee Five

PAT BRADY
DIRECTOR
235 SAWYER WAY
GREENEVILLE TN 37743

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/28/2016
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F80 - Mental Health Association, 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 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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