FORM 1023-EZ for THE SUSAN D CRUM FOUNDATION

Field Data
EIN 47-1807264
Case Number EO-2015168-000168
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE SUSAN D CRUM FOUNDATION
Organization’s Mailing Address 505 RAYLEY COURT
City GREENEVILLE
State TN
ZIP 37745
Accounting period End 12
Primary contact name SUSAN CRUM
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

SUSAN CRUM
PRESIDENT
505 RAYLEY COURT
GREENEVILLE TN 37745

Officer/Director/Trustee Two

CHRISTIE WARD
BOARD OF DIRECTOR
104 MAGNOLIA DRIVE
GREENEVILLE TN 37743

Officer/Director/Trustee Three

JAMIE WINTER
SECRETARY/TREASURER
1300 BIRDWELL MILL ROAD
GREENEVILLE TN 37743

Officer/Director/Trustee Four

MELINDA HICKERSON
BOARD OF DIRECTOR
313 N MAIN STREET
GREENEVILLE TN 37745

Officer/Director/Trustee Five

KATHY CLOWERS
BOARD OF DIRECTOR
2241 POPLAR SPRINGS ROAD
GREENEVILLE TN 37743

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/8/2014
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G30 - Cancer
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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