FORM 1023-EZ for JUSTIN WILLIAMS FOUNDATION INC

Field Data
EIN 81-1176548
Case Number EO-2016025-000210
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name JUSTIN WILLIAMS FOUNDATION INC
Organization’s Mailing Address 1024 BENTON HARBOR BLVD
City MOUNT JULIET
State TN
ZIP 37122
Accounting period End 12
Primary contact name SHASTA BROWN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DEBORAH WILLIAMS
PRESIDENT
1024 BENTON HARBOR BLVD
MOUNT JULIET TN 37122-2220

Officer/Director/Trustee Two

ROBERT WILLIAMS
CEO
1024 BENTON HARBOR BLVD
MOUNT JULIET TN 37122-2220

Officer/Director/Trustee Three

WHITNEY CRABTREE
VICE-PRESIDENT
1024 BENTON HARBOR BLVD
MOUNT JULIET TN 37122-2220

Officer/Director/Trustee Four

JOHN WILLIAMS
VICE-PRESIDENT
1024 BENTON HARBOR BLVD
MOUNT JULIET TN 37122-2220

Organization’s website HTTP://THEJUSTINWILLIAMSFOUNDATION.ORG
Organization’s email INFO@THE JUSTINWILLIAMSFOUNDATION.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/18/2013
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W99 - Public, Society Benefit - Multipurpose and Other N.E.C.
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 Yes
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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