FORM 1023-EZ for DIBRELL MEMORIAL MUSEUM INC

Field Data
EIN 87-1693045
Case Number EO-2021203-000234
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name DIBRELL MEMORIAL MUSEUM INC
Organization’s Mailing Address 1304 GREEN RD
City ROCK ISLAND
State TN
ZIP 38581
Accounting period End 5
Primary contact name LINDA PARRIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LINDA PARRIS
PRESIDENT
1304 GREEN RD
ROCK ISLAND TN 38581

Officer/Director/Trustee Two

PATRICIA STUBBLEFIELD
TREASURER
129 STUBBLEFIELD LANE
MCMINNVILLE TN 38581

Officer/Director/Trustee Three

PEGGY FOSTER
VICE PRESIDENT
102 HILLWOOD LANE
MCMINNVILLE TN 38581

Officer/Director/Trustee Four

LARRY RANKHORN
BOARD OF DIRECTORS
1140 ROY FOSTER RD
SMITHVILLE TN 37166

Officer/Director/Trustee Five

CHARLES WATSON
BOARD OF DIRECTORS
219 WILD TURKEY LANE
WOODBURY TN 37190

Organization’s website
Organization’s email LFC6572@BLOMAND.NET
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/15/2021
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A50 - Museum, Museum Activities
Organization’s purpose Charitable: Yes
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 LINDA PARRIS
Signature Title PRESIDENT
Signature Date 7/20/2021

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