FORM 1023-EZ for PUTNAM AND JACKSON COUNTY HOMESCHOOLERS INC

Field Data
EIN 94-3438620
Case Number EO-2014234-000196
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PUTNAM AND JACKSON COUNTY HOMESCHOOLERS INC
Organization’s Mailing Address PO BOX 34
City GAINESBORO
State TN
ZIP 38562
Accounting period End 7
Primary contact name TONYA STRONG
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

AMY JUDD
PRESIDENT
150 UNION RIDGE LANE
BLOOMINGTON SPRINGS TN 38545

Officer/Director/Trustee Two

MINDY COBLE
VICE PREDIDENT
519 POLK STREET
SPARTA TN 38583

Officer/Director/Trustee Three

SHIRLEY HOLLOWAY
SECRETARY/TREASURER
171 LYNN HILL ROAD
COOKEVILLE TN 38501

Officer/Director/Trustee Four

TONYA STRONG
EMERITUS
3662 BROOKSTONE DRIVE
COOKEVILLE TN 38506

Organization’s website PAJCH.ORG
Organization’s email CONTACT@PAJCH.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/1/2010
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O20 - Youth Centers, Clubs, Multipurpose
Organization’s purpose Charitable: No
Religious: Yes
Educational: Yes
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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