FORM 1023-EZ for MOUNTAIN LAUREL FOUNDATION

Field Data
EIN 85-6289757
Case Number EO-2020169-000311
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MOUNTAIN LAUREL FOUNDATION
Organization’s Mailing Address 1045 DRY CREEK RD
City ELIZABETHTON
State TN
ZIP 37643-5738
Accounting period End 12
Primary contact name JESSE SHELTON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JESSE SHELTON
TRUSTEE
1045 DRY CREEK RD
ELIZABETHTON TN 37643-5738

Organization’s website MOUNTAINLAURELFOUNDATION.ORG
Organization’s email MOUNTAINLAURELFOUNDATION@GMAIL.COM
Organization Incorporated
Organization trust Yes
Necessary Organizing Documents Yes
Organization Incorporation Date 6/12/2020
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code C30 - Natural Resources Conservation and Protection
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JESSE SHELTON
Signature Title TRUSTEE
Signature Date 6/15/2020

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