FORM 1023-EZ for MOSSY CREEK CRUZERS

Field Data
EIN 45-4821519
Case Number EO-2018347-000273
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MOSSY CREEK CRUZERS
Organization’s Mailing Address 562 N HIGHWAY 92
City JEFFERSON CITY
State TN
ZIP 37760
Accounting period End 12
Primary contact name PAT DUKES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PAT DUKES
PRESIDENT
562 N HIGHWAY 92
JEFFERSON CITY TN 37760

Officer/Director/Trustee Two

CAROL EHM
VICE PRESIDENT
108 JERRIMAC LN
DANDRIDGE TN 37725

Officer/Director/Trustee Three

JOAN SPOON
TREASURER
287 BRENTWOOD DR
MORRISTOWN TN 37814

Officer/Director/Trustee Four

KATHY READING
SECRETARY
1189 KNOWLING LOOP
TALBOTT TN 37877

Organization’s website
Organization’s email MOSSYCREEKCRUZERS@AOL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/1/12
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N12 - Fund Raising and/or Fund Distribution
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 PAT DUKES
Signature Title PRESIDENT
Signature Date 12/11/18

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