FORM 1023-EZ for MINERS MEMORIAL PARK COMMUNITY CENTER INC

Field Data
EIN 47-4005256
Case Number EO-2015322-000337
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MINERS MEMORIAL PARK COMMUNITY CENTER INC
Organization’s Mailing Address 6395 HIGHWAY 108
City WHITWELL
State TN
ZIP 37397-6920
Accounting period End 12
Primary contact name HAROLD WINSTON COOKSTON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

HAROLD COOKSTON
TREASURER
110 HIGGINS RD
WHITWELL TN 37397

Officer/Director/Trustee Two

PAULA SHIPLEY
SECRETARY
6608 HIGHWAY 108
WHITWELL TN 37397

Officer/Director/Trustee Three

DAVE GREEN
PRESIDENT
284 GREEN ROAD
WHITWELL TN 37397

Officer/Director/Trustee Four

LOYD SLATTON
VICE PRESIDENT
6870 HIGHWAY 108
WHITWELL TN 37397

Officer/Director/Trustee Five

CRAIG SLATTON
OFFICER
10451 HIGHWAY 108
WHITWELL TN 37397

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/18/2010
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N32 - Parks and Playgrounds
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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