FORM 1023-EZ for COMMUNITYWORX
| Field | Data |
|---|---|
| EIN | 82-4746360 |
| Case Number | EO-2018107-000736 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | COMMUNITYWORX |
| Organization’s Mailing Address | 1025 MONTVALE ROAD |
| City | MARYVILLE |
| State | TN |
| ZIP | 37803 |
| Accounting period End | 12 |
| Primary contact name | CAROL LUCAS |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
CAROL LUCAS
EXECUTIVE DIRECTOR
112 PIEDMONT CIRCLE
MARYVILLE TN 37803
Officer/Director/Trustee Two
RANDY SHULTS
BOARD CHAIRMAN
272 MOUNTAIN RIDGE WAY
WALLAND TN 37886
Officer/Director/Trustee Three
KIM ANTONIO
BOARD VICE-CHAIRMAN
2819 HOMESTEAD COURT
MARYVILLE TN 37804
Officer/Director/Trustee Four
GARY CHANDLER
BOARD TREASURER
3431 HELMSLEY COURT
MARYVILLE TN 37803
Officer/Director/Trustee Five
SILVIA ROCA
BOARD MEMBER
948 LEE DELIA LANE
ALCOA TN 37701
| Organization’s website | WWW.MYCOMMUNITYWORX.COM |
|---|---|
| Organization’s email | CAROL.COMMUNITYWORX@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 2/6/17 |
| Organization Incorporation State | TN |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | T50 - Philanthropy, Charity, Voluntarism Promotion, General |
| 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 | CAROL LUCAS |
| Signature Title | EXECUTIVE DIRECTOR |
| Signature Date | 3/29/18 |
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