FORM 1023-EZ for NATHAN NORMAN MEMORIAL SCHOLARSHIP FUND

Field Data
EIN 45-5477243
Case Number EO-2018169-000640
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NATHAN NORMAN MEMORIAL SCHOLARSHIP FUND
Organization’s Mailing Address 653 GOLF COURSE DRIVE
City ELIZABETHTON
State TN
ZIP 37643
Accounting period End 12
Primary contact name ANDREW MCKEEHAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

WAYNE NORMAN
PRESIDENT
653 GOLF COURSE DRIVE
ELIZABETHTON TN 37643

Officer/Director/Trustee Two

ANDREW MCKEEHAN
TREASURER
653 GOLF COURSE DRIVE
ELIZABETHTON TN 37643

Officer/Director/Trustee Three

BRANDI NORMAN
DIRECTOR
653 GOLF COURSE DRIVE
ELIZABETHTON TN 37643

Officer/Director/Trustee Four

BENJI MORRELL
DIRECTOR
653 GOLF COURSE DRIVE
ELIZABETHTON TN 37643

Officer/Director/Trustee Five

JOETTE STREET
DIRECTOR
653 GOLF COURSE DRIVE
ELIZABETHTON TN 37643

Organization’s website N/A
Organization’s email AMCKEEHAN@CARTERCOUNTYBANK.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/1/18
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O99 - Youth Development N.E.C.
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 ANDREW MCKEEHAN
Signature Title TREASURER
Signature Date 6/14/18

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