FORM 1023-EZ for HAYWOOD HERITAGE FOUNDATION

Field Data
EIN 81-1004764
Case Number EO-2016069-000246
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HAYWOOD HERITAGE FOUNDATION
Organization’s Mailing Address 417 PRESTON DRIVE
City BROWNSVILLE
State TN
ZIP 38012
Accounting period End 6
Primary contact name SHARON HAYES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

SUSAN SILLS
PRESIDENT
637 WEST MAIN STREET
BROWNSVILLE TN 38012

Officer/Director/Trustee Two

TOM BRIDGEWATER
VICE-PRESIDENT
803 EAST COLLEGE STREET
BROWNSVILLE TN 38012

Officer/Director/Trustee Three

SHARON HAYES
TREASURER
417 PRESTON DRIVE
BROWNSVILLE TN 38012

Officer/Director/Trustee Four

BETH TRIPP
SECRETARY
315 KEY CORNER STREET
BROWNSVILLE TN 38012

Officer/Director/Trustee Five

JO MATHERNE
PROMOTION COMMITTEE CHAIR
916 LEE STREET
BROWNSVILLE TN 38012

Organization’s website NA
Organization’s email SHAYES@MEMPHIS.EDU
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/17/2015
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A82 - Historical Preservation
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
Signature Title
Signature Date

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