FORM 1023-EZ for CLARK UMC CDC

Field Data
EIN 83-3422280
Case Number EO-2019226-000371
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CLARK UMC CDC
Organization’s Mailing Address 1014 NORTH 14TH AVE
City NASHVILLE
State TN
ZIP 37208
Accounting period End 12
Primary contact name HERBERT LESTER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JANICE WOODARD
CHAIRPERSON
8004 BURNTWOOD DRIVE
SMYRNA TN 37167

Officer/Director/Trustee Two

RONNIE JOHNSON
VICE CHAIR
3012 LYNDALE DRIVE
NASHVILLE TN 37207

Officer/Director/Trustee Three

LARHONDA POTTS
TREASURER
7005 BRIDGEPORT DRIVE
NASHVILLE TN 37221

Officer/Director/Trustee Four

WANDA CLAY
SECRETARY
728 TROY DRIVE
NASHVILE TN 37207

Officer/Director/Trustee Five

HERBERT LESTER
BOARD MEMBER
1014 14TH AVE NORTH
NASHVILE TN 37208

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/20/18
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code L20 - Housing Development, Construction, Management
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 No
Correctness Declaration Yes
Signature Name HERBERT LESTER
Signature Title BOARD MEMBER
Signature Date 8/12/19

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