FORM 1023-EZ for THE KERMIT TIPTON FOOTBALL SCHOLARSHIP FUND

Field Data
EIN 83-2722630
Case Number EO-2018341-000353
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE KERMIT TIPTON FOOTBALL SCHOLARSHIP FUND
Organization’s Mailing Address 1008 LESTER HARRIS ROAD
City JOHNSON CITY
State TN
ZIP 37601
Accounting period End 12
Primary contact name HARRY GIBSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

HARRY HARMAN
BOARD MEMBER
401 CASTLEWOOD CT
JOHNSON CITY TN 37601

Officer/Director/Trustee Two

C KINCH
CHAIRMAN
1605 HICKORY COURT
JOHNSON CITY TN 37601

Officer/Director/Trustee Three

MIKE LACY
SECRETARY
2601 AVONDALE DR
JOHNSON CITY TN 37604

Officer/Director/Trustee Four

HARRY GIBSON
VICE CHAIRMAN
3502 CIMMARRON DR
JOHNSON CITY TN 37601

Officer/Director/Trustee Five

BOB COOPER
TREASURER
1008 LESTER HARRIS ROAD
JOHNSON CITY TN 37601

Organization’s website
Organization’s email COACHTIPTONFOOTBALLSCHOLARSHIP@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/18/18
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B82 - Scholarships, Student Financial Aid Services, Awards
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 HARRY GIBSON
Signature Title VICE CHAIRMAN
Signature Date 12/5/18

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