FORM 1023-EZ for THE HENDERSON FOUNDATION INC

Field Data
EIN 83-3468762
Case Number EO-2019051-000418
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE HENDERSON FOUNDATION INC
Organization’s Mailing Address 6805 HIGHWAY 59
City SOMERVILLE
State TN
ZIP 38068
Accounting period End 12
Primary contact name GEORGE M CAMPBELL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NATHANIEL HENDERSON SR
PRESIDENT
6805 HIGHWAY 59
SOMERVILLE TN 38068

Officer/Director/Trustee Two

CAROLYN HENDERSON
VICE PRESIDENT
6805 HIGHWAY 59
SOMERVILLE TN 38068

Officer/Director/Trustee Three

ALISHA HENDERSON
SECRETARY
6805 HIGHWAY 59
SOMERVILLE TN 38068

Officer/Director/Trustee Four

MARVIN HENDERSON
TREASURER
6805 HIGHWAY 59
SOMERVILLE TN 38068

Officer/Director/Trustee Five

JOSEPH CREWS
BOARD MEMBER
6805 HIGHWAY 59
SOMERVILLE TN 38068

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/6/19
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P45 - Family Services, Adolescent Parents
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 Yes
One Third Support Public Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name CAROLYN HENDERSON
Signature Title VICE PRESIDENT
Signature Date 2/18/19

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