FORM 1023-EZ for THE NATIVE CULTURAL CIRCLE

Field Data
EIN 62-1734508
Case Number EO-2016256-000204
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE NATIVE CULTURAL CIRCLE
Organization’s Mailing Address 4047 APPLE RD
City CLARKSVILLE
State TN
ZIP 37043
Accounting period End 6
Primary contact name DOUGLAS KIRBY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LEROY DARNELL
PRESIDENT
711 JANIE LN
CLARKSVILLE TN 37042

Officer/Director/Trustee Two

VIRGINIA MOORE
SECRETARY
4047 APPLE RD
CLARKSVILLE TN 37043

Officer/Director/Trustee Three

DOUGLAS KIRBY
TREASURER
4047 APPLE RD
CLARKSVILLE TN 37043

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/23/1998
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A23 - Cultural, Ethnic Awareness
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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