FORM 1023-EZ for GRAND JUNCTION DEPOT MUSEUM CORPORATION

Field Data
EIN 47-1152219
Case Number EO-2014340-000198
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name GRAND JUNCTION DEPOT MUSEUM CORPORATION
Organization’s Mailing Address 10000 LAKE HARDEMAN RD
City MIDDLETON
State TN
ZIP 38052-4226
Accounting period End 12
Primary contact name GERALD WADE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

KATHY LEDBETTER
CHAIRMAN OF THE BOARD AND DIRECTOR
10000 LAKE HARDEMAN RD
MIDDLETON TN 38052

Officer/Director/Trustee Two

GERALD WADE
PRESIDENT/EXECUTIVE DIRECTOR
1400 HWY 368
GRAND JUNCTION TN 38039

Officer/Director/Trustee Three

REX BROTHERTON
SECRETARY AND DIRECTOR
PO BOX 185
HICKORY VALLEY TN 38042

Officer/Director/Trustee Four

LOU KERNS
TREASURER AND DIRECTOR
5 GATLIN DR
GRAND JUNCTION TN 38039

Officer/Director/Trustee Five

SCOTT LEDBETTER
CHIEF FINANCIAL OFFICER AND DIRECTO
10000 LAKE HARDEMAN RD
MIDDLETON TN 38052

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/5/2014
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A54 - History Museums
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
Signature Title
Signature Date

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