FORM 1023-EZ for PILOT CLUB OF COOKEVILLE

Field Data
EIN 62-6046535
Case Number EO-2015246-000002
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PILOT CLUB OF COOKEVILLE
Organization’s Mailing Address PO BOX 4174
City COOKEVILLE
State TN
ZIP 38502-4174
Accounting period End 5
Primary contact name PAT STOUT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

LILLIAN DERRICKS
PRESIDENT
1613 APPLE VALLEY DRIVE
COOKEVILLE TN 38501-4442

Officer/Director/Trustee Two

CINDY SETTERS
PRESIDENT ELECT
118 TALLEY LANE
COOKEVILLE TN 38501-9582

Officer/Director/Trustee Three

PAT STOUT
TREASURER
4715 JEREMIAH RD
COOKEVILLE TN 38506-8746

Officer/Director/Trustee Four

LINDA COHOON
SECRETARY
3013 ST CHARLES PL
COOKEVILLE TN 38501-6696

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/22/1977
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S80 - Community Service Clubs
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 No
One Third Support Gifts Yes
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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