FORM 1023-EZ for WEST TN REVITALIZATION INC

Field Data
EIN 47-2182254
Case Number EO-2018116-000214
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name WEST TN REVITALIZATION INC
Organization’s Mailing Address 1713 VALLEY SAGE COVE
City CORDOVA
State TN
ZIP 38016
Accounting period End 12
Primary contact name LEE TATE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LEE TATE
PRES.
1713 VALLEY SAGE COVE
CORDOVA SD 38016

Officer/Director/Trustee Two

JAMIE MAYO
VICE PRES.
25 ROSSER LANE
ARLINGTON TN 38002

Officer/Director/Trustee Three

NARILYN MAYO
SECRETARY
1713 VALLEY SAGE COVE
CORDOVA TN 38016

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/5/14
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B04 -
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name LEE TATE
Signature Title PRES.
Signature Date 4/24/18

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