FORM 1023-EZ for SEWANEE MOUNTAIN GROTTO

Field Data
EIN 35-2481025
Case Number EO-2016288-000278
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SEWANEE MOUNTAIN GROTTO
Organization’s Mailing Address 900 OLD SEWANEE RD
City SEWANEE
State TN
ZIP 37375
Accounting period End 12
Primary contact name KRISTINE MEDLEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KRISTINE MEDLEN
INCORPORATOR
885 WOODALL POINT RD
SOUTH PITTSBURG TN 37380

Officer/Director/Trustee Two

BLAINE GRINDLE
INCORPORATOR
669 OLD SEWANEE RD
SEWANNE TN 37375

Officer/Director/Trustee Three

MAUREEN HANDLER
INCORPORATOR
900 OLD SEWANEE RD
SEWANEE TN 37375

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/12/2016
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N50 - Recreational, Pleasure, or Social Club
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: Yes
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 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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