FORM 1023-EZ for LAWRENCE COUNTY COUNCIL OF COMMUNITY CLUBS

Field Data
EIN 82-2569848
Case Number EO-2017237-000222
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LAWRENCE COUNTY COUNCIL OF COMMUNITY CLUBS
Organization’s Mailing Address 151 LOVERS LANE
City LAWRENCEBURG
State TN
ZIP 38464
Accounting period End 6
Primary contact name CHARLOTTE SHAW
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHARLOTTE SHAW
TREASURER
151 LOVERS LANE
LAWRENCEBURG TN 38464

Officer/Director/Trustee Two

GEORGE CASTEEL
PRESIDENT
14 BEUERLIEN CIRCLE
LAWRENCEBURG TN 38464

Officer/Director/Trustee Three

NITA SLATER
SECTRETARY
13 LONG BRANCH RD
LAWRENCEBURG TN 38464

Officer/Director/Trustee Four

MARY ANN HARRIS
REPORTER
163 CALLIE CIRCLE
LEOMA TN 38468

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/23/2017
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S21 - Community Coalitions
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 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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