FORM 1023-EZ for MC10 VTC MENTORS
| Field | Data |
|---|---|
| EIN | 82-4581954 |
| Case Number | EO-2018071-000297 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | MC10 VTC MENTORS |
| Organization’s Mailing Address | 2 MILLENNIUM PLAZA SUITE 202 |
| City | CLARKSVILLE |
| State | TN |
| ZIP | 37040-3492 |
| Accounting period End | 12 |
| Primary contact name | GEORGE A DOXEY JR |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
GEORGE DOXEY JR
DIRECTOR, TREASURER, VICE-CHAIR
515 GREENWOOD AVE
CLARKSVILLE TN 37040-3713
Officer/Director/Trustee Two
OTTO COFFIN SR
DIRECTOR, CHAIRMAN
480 TYLERTOWN ROAD
CLARKSVILLE TN 37040-5534
Officer/Director/Trustee Three
TODD RALEY
DIRECTOR, VICE-CHAIRMAN
241 HAROLD DRIVE
CLARKSVILLE TN 37040-2107
Officer/Director/Trustee Four
RUSSELL CAIN
DIRECTOR, SECRETARY
498 STEFFI ST
CLARKSVILLE TN 37040-6574
Officer/Director/Trustee Five
H WENDELL GANNAWAY
DIRECTOR, ASSISTANT TREASURER
1837 WARRENDRIVE
CLARKSVILLE TN 37040-6870
| Organization’s website | WWW.MONTGOMERYCOUNTYVTC.ORG/MENTORS.HTML |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 2/27/18 |
| Organization Incorporation State | TN |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | I40 - Rehabilitation Services for Offenders |
| 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 | Yes |
| 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 | Yes |
| 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 | GEORGE DOXEY JR |
| Signature Title | DIRECTOR, TREASURER, VICE-CHAIR |
| Signature Date | 3/8/18 |
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