FORM 1023-EZ for THE MOST WORSHIPFUL GENESIS GRAND LODGE STATE OF TENNESSEE AFAM
| Field | Data |
|---|---|
| EIN | 46-0913301 |
| Case Number | EO-2016286-000226 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | THE MOST WORSHIPFUL GENESIS GRAND LODGE STATE OF TENNESSEE AFAM |
| Organization’s Mailing Address | 510 HERITAGE DRIVE |
| City | MADISON |
| State | TN |
| ZIP | 37115-2600 |
| Accounting period End | 7 |
| Primary contact name | JAMES KING |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
JAMES KING
PRESIDENT
510 HERITAGE DRIVE
MADISON TN 37115-2600
Officer/Director/Trustee Two
LEVELL MCCOLLOUGH
SECRETARY
510 HERITAGE DRIVE
MADISON TN 37115-2600
Officer/Director/Trustee Three
ALPHONSO PERKINS
TREASURER
510 HERITAGE DRIVE
MADISON TN 37115-2600
Officer/Director/Trustee Four
THOMAS HUNTER
BOARD MEMBER
510 HERITAGE DRIVE
MADISON TN 37115-2600
Officer/Director/Trustee Five
STEPHAN CRUSE
BOARD MEMBER
510 HERITAGE DRIVE
MADISON TN 37115-2600
| Organization’s website | WWW.GENESISGRANDLODGE.COM |
|---|---|
| Organization’s email | GRANDMASTEROFTN@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 9/9/2013 |
| Organization Incorporation State | TN |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | P20 - Human Service Organizations - Multipurpose |
| 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 | No |
| Seeking Section 7 Reinstatement | No |
| Correctness Declaration | Yes |
| Signature Name | |
| Signature Title | |
| Signature Date |
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