FORM 1023-EZ for RIVER PRAYER CENTER

Field Data
EIN 37-1848260
Case Number EO-2017040-000191
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name RIVER PRAYER CENTER
Organization’s Mailing Address 1656 ADSWOOD RD
City CLARKSVILLE
State TN
ZIP 37042
Accounting period End 12
Primary contact name PHYLLIS SHARON CLARK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

FRANK CLARK
PRESIDENT
1656 ADSWOOD RD
CLARKSVILLE TN 37042

Officer/Director/Trustee Two

PHYLLIS CLARK
VICE PRESIDENT
1656 ADSWOOD RD
CLARKSVILLE TN 37042

Officer/Director/Trustee Three

PEGGY COX LATCHEM
DIRECTOR
1409 HONEYSUCKLE LANE
CLARKSVILLE TN 37040

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/28/2017
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X99 - Religion Related, Spiritual Development N.E.C.
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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