FORM 1023-EZ for BARTLETT HISTORICAL SOCIETY

Field Data
EIN 58-1527381
Case Number EO-2014254-000241
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BARTLETT HISTORICAL SOCIETY
Organization’s Mailing Address 2969 COURT STREET
City BARTLETT
State TN
ZIP 38134-4546
Accounting period End 1
Primary contact name JACK COLEMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JACK COLEMAN
PRESIDENT
2454 LACOSTA DR
BARTLETT TN 38134-5589

Officer/Director/Trustee Two

GAIL RUSSO
TREASURER
3646 DAWNRIDGE COVE
BARTLETT TN 38135-3115

Officer/Director/Trustee Three

SANDRA GALLAGHER
SECRETARY
7136 DEERFIELD ROAD
BARTLETT TN 38135-2614

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/17/1982
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A80 - Historical Societies, Related Historical Activities
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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