FORM 1023-EZ for LIBERTY RETREAT AND CONFERENCE CENTER

Field Data
EIN 43-3773879
Case Number EO-2018089-000327
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LIBERTY RETREAT AND CONFERENCE CENTER
Organization’s Mailing Address 5805 SARAMAC DRIVE
City WATAUGA
State TX
ZIP 76148
Accounting period End 12
Primary contact name NATHAN TUCKER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NATHAN TUCKER
EXECUTIVE DIRECTOR
856 KELLER SMITHFIELD ROAD
KELLER TX 76248

Officer/Director/Trustee Two

MITCH VERDELL
VICE CHAIRMAN
1440 RENFROE LANE
CHARLOTTE NC 28170

Officer/Director/Trustee Three

MIKE WILSON
VICE CHAIRMAN
104 BRIAR COVE
GLEASON TN 38229

Organization’s website LIBERTYRETREAT.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/1/01
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X21 - Protestant
Organization’s purpose Charitable: No
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 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 NATHAN TUCKER
Signature Title EXECUTIVE DIRECTOR
Signature Date 3/28/18

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