FORM 1023-EZ for CAMPBELL COUNTY CHRISTIAN LEARNINGCENTER
| Field | Data |
|---|---|
| EIN | 82-2699017 |
| Case Number | EO-2019036-000761 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | CAMPBELL COUNTY CHRISTIAN LEARNINGCENTER |
| Organization’s Mailing Address | PO BOX 256 |
| City | LA FOLLETTE |
| State | TN |
| ZIP | 37766 |
| Accounting period End | 12 |
| Primary contact name | DERREK BOWMAN |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
SHANNON COX
PRESIDENT
214 ABBY LN
JACKSBORO TN 37757
Officer/Director/Trustee Two
SHERRY SHOPE
SECRETARY
148 COLONIAL HEIGHTS
LA FOLLETTE TN 37766
Officer/Director/Trustee Three
LYNN RAY
BOARD MEMBER
307 CHIMNEY ROCK LN
DUFF TN 37729
Officer/Director/Trustee Four
AMANDA COX
BOARD MEMBER
214 ABBY LN
JACKSBORO TN 37757
Officer/Director/Trustee Five
DERREK BOWMAN
BOARD MEMBER
122 E CENTRAL AVE
LA FOLLETTE TN 37766
| Organization’s website | CAMPBELLCOUNTYCLC.ORG |
|---|---|
| Organization’s email | CAMPBELLCLC2018@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 7/24/18 |
| Organization Incorporation State | TN |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | X99 - Religion Related, Spiritual Development N.E.C. |
| Organization’s purpose | Charitable: Yes Religious: Yes 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 | Yes |
| Benefit of College | No |
| Private Foundation 508(e) | No |
| Seeking Retroactive Reinstatement | No |
| Seeking Section 7 Reinstatement | No |
| Correctness Declaration | Yes |
| Signature Name | DERREK BOWMAN |
| Signature Title | BOARD MEMBER |
| Signature Date | 1/23/19 |
| EIN | 82-2699017 |
| Case Number | EO-2019036-000761 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | CAMPBELL COUNTY CHRISTIAN LEARNING CENTER |
| Organization’s Mailing Address | PO BOX 256 |
| City | LA FOLLETTE |
| State | TN |
| ZIP | 37766 |
| Accounting period End | 12 |
| Primary contact name | DERREK BOWMAN |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
SHANNON COX
PRESIDENT
214 ABBY LN
JACKSBORO TN 37757
Officer/Director/Trustee Two
SHERRY SHOPE
SECRETARY
148 COLONIAL HEIGHTS
LA FOLLETTE TN 37766
Officer/Director/Trustee Three
LYNN RAY
BOARD MEMBER
307 CHIMNEY ROCK LN
DUFF TN 37729
Officer/Director/Trustee Four
AMANDA COX
BOARD MEMBER
214 ABBY LN
JACKSBORO TN 37757
Officer/Director/Trustee Five
DERREK BOWMAN
BOARD MEMBER
122 E CENTRAL AVE
LA FOLLETTE TN 37766
| Organization’s website | CAMPBELLCOUNTYCLC.ORG |
|---|---|
| Organization’s email | CAMPBELLCLC2018@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 7/24/18 |
| Organization Incorporation State | TN |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | X99 - Religion Related, Spiritual Development N.E.C. |
| Organization’s purpose | Charitable: Yes Religious: Yes 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 | Yes |
| Benefit of College | No |
| Private Foundation 508(e) | No |
| Seeking Retroactive Reinstatement | No |
| Seeking Section 7 Reinstatement | No |
| Correctness Declaration | Yes |
| Signature Name | DERREK BOWMAN |
| Signature Title | BOARD MEMBER |
| Signature Date | 1/23/19 |
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