FORM 1023-EZ for NATIONAL GOVENORS SECURITY ASSOCIATION INC

Field Data
EIN 47-1595630
Case Number EO-2014233-000216
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name NATIONAL GOVENORS SECURITY ASSOCIATION INC
Organization’s Mailing Address 500 CHARLOTTE AVE
City NASHVILLE
State SD
ZIP 37243
Accounting period End 12
Primary contact name MARK PROCTOR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

CLAY CHUTZ
PRESIDENT/DIRRECTOR
1001 CAPITOL ACCESS ROAD
BATON ROUGE LA 70802

Officer/Director/Trustee Two

JESS ANDERSON
VICE-PRESIDENT/DIRECTOR
350 NORTH STATE ST STE 200
SALT LAKE CITY UT 84114

Officer/Director/Trustee Three

JOHN MOBERLY
SECRETARY/DIRECTOR
704 CAPITAL AVE
FRANKFORT KY 40601

Officer/Director/Trustee Four

MARK PROCTOR
TREASURER/DIRECTOR
500 CHARLOTTE AVENUE
NASHVILLE TN 37243

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/14/2014
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code I60 - Law Enforcement Agencies (Police Departments)
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 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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