FORM 1023-EZ for CONCERNED CITIZENS OF THE DOUGLASSCOMMUNITY

Field Data
EIN 62-1331309
Case Number EO-2020219-000248
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CONCERNED CITIZENS OF THE DOUGLASSCOMMUNITY
Organization’s Mailing Address PO BOX 69
City STANTON
State TN
ZIP 38069
Accounting period End 6
Primary contact name SOPHIA RIVERS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SOPHIA RIVERS
PRESIDENT
1932 DOUGLAS LOOP
STANTON TN 38069

Officer/Director/Trustee Two

JEFFREY RICHMOND
VICE PRESIDENT
102 DOUGLAS RD
STANTON TN 38069

Officer/Director/Trustee Three

KIMBERLY BAILEY
SECRETARY
53 SUMMIT LANE
STANTON TN 38069

Officer/Director/Trustee Four

TERRANCE CANNON
BOARD OF DIRECTORS CHAIRMAN
1209 DANCYVILLE RD
STANTON TN 38069

Officer/Director/Trustee Five

WINFREY PRUIETT
BOARD OF TRUSTEES CHAIRMAN
424 DOUGLAS LOOP
STANTON TN 38069

Organization’s website
Organization’s email KIMBERLYBAILEY94@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/24/1986
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N31 - Community Recreational Centers
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name SOPHIA RIVERS
Signature Title PRESIDENT
Signature Date 8/4/2020

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