FORM 1023-EZ for CENTURION COMMUNITY SUPPORT CENTER

Field Data
EIN 47-1530897
Case Number EO-2014346-000421
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CENTURION COMMUNITY SUPPORT CENTER
Organization’s Mailing Address 7708 ARAPAHO STREET
City MILLINGTON
State TN
ZIP 38053
Accounting period End 7
Primary contact name CYNTHIA PULLIAM
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

CYNTHIA PULLIAM
PRESIDENT
7708 ARAPHO
MILLINGTON TN 38053

Officer/Director/Trustee Two

CURTIS BERRY
PARLINMENTARIAN
4403 BLUEBELL
MEMPHIS TN 38109

Officer/Director/Trustee Three

KENNETH DANIELS
VICE-PRESIDENT
204 A WEST BONNIE STREET
LINDALE TX 75771

Officer/Director/Trustee Four

CHRISTIAN JONES
TREASUER
6630 ROLLINGBROOK LANE APT 6
BARLETT TN 38134

Officer/Director/Trustee Five

ESTELLA CARTER
SECRETARY
3815 AUSTIN PEAY
MEMPHIS NC 38128

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/29/2014
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N31 - Community Recreational Centers
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
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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