FORM 1023-EZ for COMMUNITY THRIFT SERVING CULLMAN

Field Data
EIN 82-2743310
Case Number EO-2017256-000325
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name COMMUNITY THRIFT SERVING CULLMAN
Organization’s Mailing Address 181 CR 683
City HOLLY POND
State AL
ZIP 35083
Accounting period End 12
Primary contact name JENNIFER HALL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JENNIFER HALL
PRESIDENT
181 CR 683
HOLLY POND AL 35083

Officer/Director/Trustee Two

TAYLOR HENDERSON
TREASURER
15 SHORT FORREST AVE
GADSDEN AL 35904

Officer/Director/Trustee Three

SEAN CAMPBELL
SECRETARY
125 MANDY DR
HAZEL GREEN AL 35805

Officer/Director/Trustee Four

BRENDA TARVER
MEMBER
717 PEARMAN LAKE RD
RAINBOW CITY AL 35906

Officer/Director/Trustee Five

RACHAEL CAMPBELL
VICE-PRESIDENT
153 NORTHWOOD DR
HARVEST AL 35749

Organization’s website
Organization’s email SERVINGCULLMAN@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/11/2017
Organization Incorporation State AL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X20 - Christian
Organization’s purpose Charitable: Yes
Religious: Yes
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
Signature Title
Signature Date

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