FORM 1023-EZ for DONNA M BINGHAM MEMORIAL FOUNDATION

Field Data
EIN 87-2238283
Case Number EO-2021237-000389
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name DONNA M BINGHAM MEMORIAL FOUNDATION
Organization’s Mailing Address 112 SOUTH MAGNOLIA STREET
City ADAMSVILLE
State TN
ZIP 38310
Accounting period End 12
Primary contact name MATTHEW BARNES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROBIN BARNES
PRESIDENT DIRECTOR
112 SOUTH MAGNOLIA STREET
ADAMSVILLE TN 38310

Officer/Director/Trustee Two

MATTHEW BARNES
TREASURER SECRETARY
112 SOUTH MAGNOLIA STREET
ADAMSVILLE TN 38310

Officer/Director/Trustee Three

KRISY EVANS
DIRECTOR
112 SOUTH MAGNOLIA STREET
ADAMSVILLE TN 38310

Officer/Director/Trustee Four

KRISTY KENNAMORE
DIRECTOR
112 SOUTH MAGNOLIA STREET
ADAMSVILLE TN 38310

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/10/2021
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E70 - Public Health Program (Includes General Health and Wellness Promotion Services)
Organization’s purpose Charitable: Yes
Religious: No
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 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 MATTHEW BARNES
Signature Title TREASURER SECRETARY
Signature Date 8/23/2021

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