FORM 1023-EZ for TENNESSEE DISTRICT -- PILOT INTERNATIONAL

Field Data
EIN 23-7453793
Case Number EO-2015245-000199
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name TENNESSEE DISTRICT -- PILOT INTERNATIONAL
Organization’s Mailing Address P O BOX 2078
City HIXSON
State TN
ZIP 37343-2078
Accounting period End 6
Primary contact name JOYCE HOLLAND
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

SHERRY BATH
GOVERNOR
104 NEWRIDGE ROAD
OAK RIDGE TN 37830

Officer/Director/Trustee Two

EVELYN JENKINS
GOVERNOR-ELECT
346 HAVEN DRIVE SW
MCDONALD TN 37353

Officer/Director/Trustee Three

DEBRA HALL
SECRETARY
107 CENTER PARK DRIVE
OAK RIDGE TN 37830

Officer/Director/Trustee Four

JOYCE HOLLAND
TREASURER
7333 VALLEY LANE
HIXSON TN 37343-2207

Officer/Director/Trustee Five

BARBARA HINSON
PIFF REPRESENTATIVE
307 PARK AVENUE SOUTH
HOHENWALD TN 38462

Organization’s website WWW.PILOTTNDISTRICT.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/30/1978
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 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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