FORM 1023-EZ for JOHNSONS CHAPEL COMMUNITY OUTREACH

Field Data
EIN 82-2996277
Case Number EO-2017298-000418
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name JOHNSONS CHAPEL COMMUNITY OUTREACH
Organization’s Mailing Address 110 KITTS ROAD
City WASHBURN
State TN
ZIP 37888
Accounting period End 12
Primary contact name MELISSA HURST
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

HUNTER SIMMONS
DIRECTOR
1016 SHIRLEY ROAD
WASHBURN TN 37888

Officer/Director/Trustee Two

KEVIN PHIFER
VICE DIRECTOR
9768 HWY 131
WASHBURN TN 37888

Officer/Director/Trustee Three

JUDY PHIPPS
PRESIDENT
13728 HWY 131
WASHBURN TN 37888

Officer/Director/Trustee Four

SUSAN COFFEY
VICE PRESIDENT
1795 BEECH GROVE ROAD
THORN HILL TN 37881

Officer/Director/Trustee Five

MELISSA HURST
TREASURER
8629 HWY 131
WASHBURN TN 37888

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/1/2017
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X20 - Christian
Organization’s purpose Charitable: Yes
Religious: Yes
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 No
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
Signature Title
Signature Date

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