FORM 1023-EZ for ANGEL EMMS INC

Field Data
EIN 46-1827699
Case Number EO-2017066-000063
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ANGEL EMMS INC
Organization’s Mailing Address 646 W MAIN ST
City PARSONS
State TN
ZIP 38363
Accounting period End 12
Primary contact name ROBERT BLAKE WHITE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROBERT BLAKE WHITE
PRESIDENT
646 W MAIN ST
PARSONS TN 38363

Officer/Director/Trustee Two

KELLEY WHITE
DIRECTOR
646 W MAIN ST
PARSONS TN 38363

Officer/Director/Trustee Three

ALLYSON SPILLANE
SECRETARY
522 WILSON RUN
BRENTWOOD TN 37027

Officer/Director/Trustee Four

DENA REED
DIRECTOR
96 N HELMS ST
LEXINGTON TN 38351

Officer/Director/Trustee Five

JENNIFER MOORE
DIRECTOR
770 BEAVER CREEK
PARSONS TN 38363

Organization’s website WWW.ANGELEMMS.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/1/2013
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code H98 - Pediatrics Research
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 No
One Third Support Public Yes
One Third Support Gifts No
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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