FORM 1023-EZ for FRIENDS OF FROZEN HEAD STATE PARK INC

Field Data
EIN 81-4142304
Case Number EO-2017020-000311
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FRIENDS OF FROZEN HEAD STATE PARK INC
Organization’s Mailing Address 964 FLAT FORK ROAD
City WARTBURG
State TN
ZIP 37887
Accounting period End 6
Primary contact name LUCINDA BURNHAM
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LUCINDA BURNHAM
PRESIDENT
964 FLAT FORK ROAD
WARTBURG TN 37887

Officer/Director/Trustee Two

JIMMY GROTON
VICE PRESIDENT
964 FLAT FORK ROAD
WARTBURG TN 37887

Officer/Director/Trustee Three

ANNETTA WATSON
TREASURER
964 FLAT FORK ROAD
WARTBURG TN 37887

Organization’s website
Organization’s email RANGER1172@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/27/2016
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code C30 - Natural Resources Conservation and Protection
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 Yes
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
Signature Title
Signature Date

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