FORM 1023-EZ for BLACKMAN COMMUNITY CLUB

Field Data
EIN 30-0841308
Case Number EO-2015075-000489
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BLACKMAN COMMUNITY CLUB
Organization’s Mailing Address 4527 VETERANS PKWY
City MURFREESBORO
State TN
ZIP 37128-3957
Accounting period End 12
Primary contact name CODY RYAN YORK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MARK STARLING
PRES
122 REELFOOT CT
MURFREESBORO TN 37129

Officer/Director/Trustee Two

BILLY PITMON
DIR
5714 COLCHESTER CT
MURFREESBORO TN 37128-3795

Officer/Director/Trustee Three

SHERRY TIDWELL
DIR
910 RUSHMORE DR
MUIRFREESBORO TN 37129-4535

Officer/Director/Trustee Four

SCOTT ROWLETT
TRES
4527 VETERANS PKWY
MURFREESBORO TN 37128-3957

Officer/Director/Trustee Five

CODY YORK
ACTING SEC FOR FILING
8824 ROCKY FORK ALMAVILLE R
SMYRNA TN 37167

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/2/2014
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S80 - Community Service Clubs
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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