FORM 1023-EZ for FAMILY SYSTEM SERVICES

Field Data
EIN 46-5194880
Case Number EO-2015029-000177
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FAMILY SYSTEM SERVICES
Organization’s Mailing Address 151 MASON STREET
City GREENEVILLE
State TN
ZIP 37743
Accounting period End 12
Primary contact name CLIFFORD F MILLER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

CLIFFORD MILLER
EXECUTIVE DIRECTOR
414 WEST IRISH STREET
GREENEVILLE TN 37743

Officer/Director/Trustee Two

SHANNON RICHARDS
DIRECTOR OF ADMINISTRATION
80795 OLD ASHEVILLE HWY
GREENEVILLE TN 37743

Officer/Director/Trustee Three

MICHELE GIPSON-LEWIS
DIRECTOR OF DEVELPOMANT AND ED SER
1311 LITTLE MOUNTAIN RD
RUSSELLVILLE TN 37860

Officer/Director/Trustee Four

PAMELA MILLER
SECRETARY
414 WEST IRISH STREET
GREENEVILLE TN 37743

Officer/Director/Trustee Five

DENNIS SHIREY
BOARD TRUSTEE
919 OLD BAILEYTON RD
AFTON TN 37616

Organization’s website
Organization’s email CFMILLER32@YAHOO.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/28/2014
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F30 - Mental Health Treatment - Multipurpose and N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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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