FORM 1023-EZ for JONESBOROUGH COMMUNITY CHEST

Field Data
EIN 47-2039108
Case Number EO-2014288-000136
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name JONESBOROUGH COMMUNITY CHEST
Organization’s Mailing Address 123 BOONE STREET
City JONESBOROUGH
State TN
ZIP 37659-1345
Accounting period End 6
Primary contact name ADAM GRANT DICKSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ADAM DICKSON
PRESIDENT-DIRECTOR
103 GREENBACK COURT
JONESBOROUGH TN 37659-1345

Officer/Director/Trustee Two

JIM RHEIN
SECRETARY-DIRECTOR
404 WEST MAIN STREET
JONESBOROUGH TN 37659-1345

Officer/Director/Trustee Three

YVONNE BUFORD
WEBSITE DEVELOPMENT COMMITTEE CHAIR
1254 HAIRETOWN ROAD
JONESBOROUGH TN 37659-1345

Officer/Director/Trustee Four

TOM PARDUE
DIRECTOR
403 WEST MAIN STREET
JONESBOROUGH TN 37659-1345

Officer/Director/Trustee Five

JIM DOTSON
DIRECTOR
1591 HIGHWAY 81 NORTH
JONESBOROUGH TN 37659-1345

Organization’s website
Organization’s email ADICKSON@MYACFCU.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/10/2012
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S01 - Alliance/Advocacy Organizations
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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