FORM 1023-EZ for COMMUNITY ALERT

Field Data
EIN 31-1734099
Case Number EO-2016144-000315
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name COMMUNITY ALERT
Organization’s Mailing Address 4909 SEINER COURT
City HERMITAGE
State TN
ZIP 37076-2627
Accounting period End 12
Primary contact name BOBBY DANIELS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JACQUELINE CONWELL
FOUNDER, PRESIDENT
4909 SEINER COURT
HERMITAGE TN 37076-2627

Officer/Director/Trustee Two

ELBERT GORDON
TREASURER
3741 MOSS ROSE DRIVE
NASHVILLE TN 37216-4340

Officer/Director/Trustee Three

THERESA GORDON
CORRESPONDENT SECRETARY
3741 MOSS ROSE DRIVE
NASHVILLE TN 37216-4340

Officer/Director/Trustee Four

JOYCE HORTON
SECRETARY
301 WESTCHESTER DRIVE
MADISON TN 37115-3552

Officer/Director/Trustee Five

JOSEPH CORNELIUS
BOARD MEMBER
513 TINSLEY LANE
COLUMBIA TN 38401-2253

Organization’s website N/A
Organization’s email CONWELJE@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/5/2000
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
Organization’s purpose Charitable: Yes
Religious: No
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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