FORM 1023-EZ for SMOKY MOUNTAIN LIONS CHARITIES MOBILE VISION LAB INC

Field Data
EIN 47-4458885
Case Number EO-2015320-000176
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SMOKY MOUNTAIN LIONS CHARITIES MOBILE VISION LAB INC
Organization’s Mailing Address 8030 WHITESTONE RD
City KNOXVILLE
State TN
ZIP 37938
Accounting period End 6
Primary contact name LARRY C HOWLETT CPA FORM 2848
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

TIM JOHNSON
PRESIDENT
5329 LAVESTA RD
KNOXVILLE TN 37918

Officer/Director/Trustee Two

JAMES W MCFARLAND
TREASURER
8030 WHITESTONE RD
KNOXVILLE TN 37938

Officer/Director/Trustee Three

DAVE CRAWFORD
SCERETARY
6812 HUNTER TRAIL
KNOXVILLE TN 37921

Officer/Director/Trustee Four

DEAN HARCHBARGER
VICE PRESIDENT
PO BOX 282
NORRIS TN 37828-0282

Organization’s website
Organization’s email SMOKYMOUNTAINLIONSCHARITIESMVL@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/31/2015
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E30 - Health Treatment Facilities, Primarily Outpatient
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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