FORM 1023-EZ for GIBBS HIGH SCHOOL FOUNDATION

Field Data
EIN 81-1858625
Case Number EO-2016081-000128
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name GIBBS HIGH SCHOOL FOUNDATION
Organization’s Mailing Address 7628 TAZEWELL PIKE
City CORRYTON
State TN
ZIP 37721
Accounting period End 6
Primary contact name DANA DALTON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ROY MULLINS
PRESIDENT
9220 EMORY RD
CORRYTON TN 37721

Officer/Director/Trustee Two

GARY ACUFF
VICE-PRESIDENT
8608 EMORY RD
CORRYTON TN 37721

Officer/Director/Trustee Three

RICHARD SCHULZ
TREASURER
7529 WASHINGTON PIKE
CORRYTON TN 37721

Officer/Director/Trustee Four

DANA DALTON
SECRETARY
552 RIVERFRONT WAY
KNOXVILLE TN 37915

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/3/2016
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B11 - Single Organization Support
Organization’s purpose Charitable: No
Religious: No
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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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