FORM 1023-EZ for R4O MID SOUTH CHAPTER MOTORCYCLE ORGANIZATION

Field Data
EIN 82-5234429
Case Number EO-2018110-000203
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name R4O MID SOUTH CHAPTER MOTORCYCLE ORGANIZATION
Organization’s Mailing Address 1018 MASSEY ROAD
City MT PLEASANT
State TN
ZIP 38474
Accounting period End 12
Primary contact name APRIL RIDENOUR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

APRIL RIDENOUR
TREASURER
1018 MASSEY ROAD
MT. PLEASANT TN 38474

Officer/Director/Trustee Two

ROY BURROWS
PRESIDENT
1110 MILKY WAY ROAD
PULASKI TN 38478

Officer/Director/Trustee Three

SCOTTIE LANCE
VICE PRESIDENT
1868 GRAYS BEND ROAD
CENTERVILLE TN 37034

Officer/Director/Trustee Four

DONNA LANCE
SECRETARY
1868 GRAYS BEND ROAD
CENTERVILLE TN 37034

Officer/Director/Trustee Five

TREY WILLIAMS
SERGEANT OF ARMS
1224 OLD HIGHWAY 64 E
WAYNESBORO TN 38485

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/18/18
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N50 - Recreational, Pleasure, or Social Club
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 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 APRIL RIDENOUR
Signature Title TREASURER
Signature Date 4/18/18

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