FORM 1023-EZ for MURRELL-KEATH COMMUNITY CENTER

Field Data
EIN 83-0623873
Case Number EO-2018144-000113
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MURRELL-KEATH COMMUNITY CENTER
Organization’s Mailing Address 9235 FEATHERS CHAPEL DR
City OAKLAND
State TN
ZIP 38060-3011
Accounting period End 12
Primary contact name REGGIE HINES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

REGGIE HINES
PRESIDENT
9235 FEATHERS CHAPEL DR
OAKLAND TN 38060-3011

Officer/Director/Trustee Two

DR TREVECCA SHAW
VICE PRESIDENT
11519 WILLOW STREAM CT APT 201
LOUISVILLE KY 40299-5987

Officer/Director/Trustee Three

KIBIBI LEWELLEN
SECRETARY
2578 PLUM CREEK DR
CORDOVA TN 38016-108

Officer/Director/Trustee Four

BOBBY PRATHER JR
DIRECTOR
1760 DARTFORD DRIVE
CORDOVA TN 38016-6496

Officer/Director/Trustee Five

VALERIE HAYES
DIRECTOR
140 CLEAVES LOOP
OAKLAND TN 38060-3116

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/20/18
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P28 - Neighborhood Centers, Settlement Houses
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: Yes
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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name REGGIE HINES
Signature Title PRESIDENT
Signature Date 5/22/18

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