FORM 1023-EZ for SOUTHSIDE MENS 100 CLUB

Field Data
EIN 84-4957418
Case Number EO-2020147-000489
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SOUTHSIDE MENS 100 CLUB
Organization’s Mailing Address 6104 OLD HWY 48
City CUNNINGHAM
State TN
ZIP 37051-4913
Accounting period End 12
Primary contact name DANIEL MCCASLIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DANIEL MCCASLIN
SECRETARY/TREASURER
6104 OLD HWY 48
CUNNINGHAM TN 37052-4913

Officer/Director/Trustee Two

BURNEY WALL
PRESIDENT
1550 RYES CHAPEL RD
SOUTHSIDE TN 37171-9131

Officer/Director/Trustee Three

EDWIN SCHOONOVER
VICE PRESIDENT
501 DAWSON RD
CUMBERLAND FURNACE TN 37051-9001

Organization’s website
Organization’s email SOUTHSIDEMENS100CLUB@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/3/2020
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X20 - Christian
Organization’s purpose Charitable: Yes
Religious: Yes
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 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 DANIEL MCCASLIN
Signature Title SECRETARY/TREASURER
Signature Date 5/22/2020

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