FORM 1023-EZ for MEMPHIS AND SHELBY COUNTY DOMESTICAND SEXUAL VIOLENCE COUNCIL

Field Data
EIN 47-4548722
Case Number EO-2015208-000353
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MEMPHIS AND SHELBY COUNTY DOMESTICAND SEXUAL VIOLENCE COUNCIL
Organization’s Mailing Address 825 CREEKSIDE DR UNIT 1
City MEMPHIS
State TN
ZIP 38117
Accounting period End 12
Primary contact name ELIZABETH SHELLEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

KASSANDRA SMITH
PRESIDENT
201 POPLAR AVE
MEMPHIS TN 38103

Officer/Director/Trustee Two

KEVIN REED
VICE PRESIDENT
201 POPLAR
MEMPHIS TN 38103

Officer/Director/Trustee Three

LIA ROEMER
SECRETARY
766 S HIGHLAND
MEMPHIS TN 38111

Officer/Director/Trustee Four

ELIZABETH SHELLEY
TREASURER
825 CREEKSIDE DR UNIT 1
MEMPHIS TN 38117

Officer/Director/Trustee Five

KAREN COOK
OFFICER
201 POPLAR AVE
MEMPHIS TN 38103

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/1/2015
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F01 - Alliance/Advocacy Organizations
Organization’s purpose Charitable: No
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 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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