FORM 1023-EZ for JEFFERSON COUNTY AUXILLARY RADIO EMERGENCY SERVICES

Field Data
EIN 86-3434132
Case Number EO-2021123-000127
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name JEFFERSON COUNTY AUXILLARY RADIO EMERGENCY SERVICES
Organization’s Mailing Address 435 BUCKINGHAM DR
City JEFFERSON CITY
State TN
ZIP 37760
Accounting period End 12
Primary contact name CLARK MEASELS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CLARK MEASELS
OFFICER
435 BUCKINGHAM DR
JEFFERSON CITY TN 37760

Officer/Director/Trustee Two

TOM BOSSE
OFFICER
910 VICTORY TRAIL
JEFFERSON CITY TN 37760

Officer/Director/Trustee Three

DALE KNIGHT
OFFICER
6209 NIGHTINHGALE TRAIL
MORRISTOWN TN 37814

Officer/Director/Trustee Four

CHRIS KNIGHT
OFFICER
1511 INGRAM HEIGHTS ROAD
TALBOTT TN 37877

Officer/Director/Trustee Five

LARRY SMITH
OFFICER
435 INDEPENDANCE DR
JEFFERSON CITY TN 37760-3839

Organization’s website JCARES.ORG
Organization’s email CMEASELS@CHARTER.NET
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/8/2021
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code M99 - Public Safety, Disaster Preparedness, and Relief 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 Yes
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 Yes
Correctness Declaration Yes
Signature Name CLARK MEASELS
Signature Title OFFICER
Signature Date 4/29/2021

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