FORM 1023-EZ for DEPUTY BUBBA JOHNSON FOUNDATION
| Field | Data |
|---|---|
| EIN | 84-2911038 |
| Case Number | EO-2020212-000418 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | DEPUTY BUBBA JOHNSON FOUNDATION |
| Organization’s Mailing Address | 1897 FENN LANE |
| City | CLARKSVILLE |
| State | TN |
| ZIP | 37043 |
| Accounting period End | 12 |
| Primary contact name | JENNIFER JOHNSON |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
JEFFREY MORLOCK
PRESIDENT
1897 FENN LANE
CLARKSVILLE TN 37043
Officer/Director/Trustee Two
DANIEL BRINKMEYER
TREASURER
1897 FENN LANE
CLARKSVILLE TN 37043
Officer/Director/Trustee Three
JAMES DERICO
SECRETARY
1897 FENN LANE
CLARKSVILLE TN 37043
Officer/Director/Trustee Four
JENNIFER JOHNSON
DIRECTOR
1897 FENN LANE
CLARKSVILLE TN 37043
Officer/Director/Trustee Five
JOEY DALLAS
TRUSTEE
620 CORINTH CT
CLARKSVILLE TN 37040
| Organization’s website | WWW.DEPUTYBUBBAJOHNSONMEMORIAL.COM |
|---|---|
| Organization’s email | JENNIFERJOHNSON09@ATT.NET |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 7/17/2019 |
| Organization Incorporation State | TN |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | M11 - Single Organization Support |
| 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 | JENNIFER JOHNSON |
| Signature Title | DIRECTOR |
| Signature Date | 5/28/2020 |
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