FORM 1023-EZ for WALTER BREWER BEMIS COMMUNITY CENTER

Field Data
EIN 27-4830098
Case Number EO-2014240-000534
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name WALTER BREWER BEMIS COMMUNITY CENTER
Organization’s Mailing Address 324 SECOND STREET
City JACKSON
State TN
ZIP 38301
Accounting period End 12
Primary contact name IDA J SMITH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ANNE ROWAN
PRESIDENT
35 WILLIAMSON RD
DENMARK TN 38391

Officer/Director/Trustee Two

JACQUELYN MARSHALL
SECRETARY
4769 RIVERSIDE DR
MEDON TN 38356

Officer/Director/Trustee Three

PEGGY TURNER
TREASURER
HIGHWAY 100
BOLIVAR TN 38008

Officer/Director/Trustee Four

IDA J SMITH
DIRECTOR
3 BUTLER ST
JACKSON TN 38301

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/20/2010
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S20 - Community, Neighborhood Development, Improvement (General)
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 Yes
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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