FORM 1023-EZ for GLADEVILLE COMMUNITY CENTER GROUP

Field Data
EIN 62-1402146
Case Number EO-2016123-000197
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name GLADEVILLE COMMUNITY CENTER GROUP
Organization’s Mailing Address POBOX 92
City GLADEVILLE
State TN
ZIP 37071
Accounting period End 7
Primary contact name DEBBIE RAY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MABEL BEAZLEY
PRESIDENT
3011 GLADEVILLE RD
MT.JULIET TN 37122

Officer/Director/Trustee Two

EARL RAY
V PRESIDENT
POBOX 10
GLADEVILLE TN 37071

Officer/Director/Trustee Three

DEBBIE RAY
TREASURER
PO BOX 10
GLADEVILLE TN 37071

Officer/Director/Trustee Four

MARGERAT REDIKER
SECRETARY
449 M0CCASIN RD
LEBANON TN 37090

Officer/Director/Trustee Five

DIANE HARKREADER
BOARD MEMBER
1932 HARKREADER RD
MT JULIET RD TN 37122

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/15/1992
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: 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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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