FORM 1023-EZ for THE PASTORS FORUM INC

Field Data
EIN 46-3753796
Case Number EO-2017222-000561
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE PASTORS FORUM INC
Organization’s Mailing Address 3510 WEST HAMILTON
City NASHVILLE
State TN
ZIP 37218
Accounting period End 12
Primary contact name SAM KIRK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RONNIE MITCHELL
PRESIDENT
3510 WEST HAMILTON
NASHVILLE TN 37218

Officer/Director/Trustee Two

SAMUEL KIRK
SECRETARY
3510 WEST HAMILTON
NASHVILLE TN 37218

Officer/Director/Trustee Three

HARVEY BUTLER
DIRECTOR
3510 WEST HAMILTON
NASHVILLE TN 37218

Officer/Director/Trustee Four

ANTHONY WAGGONER
TREASURER
3510 WEST HAMILTON
NASHVILLE TN 37218

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/27/2013
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S20 - Community, Neighborhood Development, Improvement (General)
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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