FORM 1023-EZ for BELVIDERE COMMUNITY CENTER INC

Field Data
EIN 82-0861705
Case Number EO-2017082-000258
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BELVIDERE COMMUNITY CENTER INC
Organization’s Mailing Address P O BOX 37
City BELVIDERE
State TN
ZIP 37306
Accounting period End 6
Primary contact name FRED WARMBROD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JAMES YANNAYON
PRESIDENT
4261 OWL HOLLOW RD
BELVIDERE TN 37306-2606

Officer/Director/Trustee Two

CECELIA BRODIOI
SECRETARY
P O BOX 37
BELVIDERE TN 37306-2606

Officer/Director/Trustee Three

FRED WARMBROD
VICE-PRESIDENT
3012 OWL HOLLOW RD
BELVIDERE TN 37306-2606

Officer/Director/Trustee Four

ANDY KNAPPER
TREASURER
4168 OWL HOLLOW RD
BELVIDERE TN 37306-2606

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/8/1984
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 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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