FORM 1023-EZ for MUSIC CITY MIZFITS INC

Field Data
EIN 82-0667155
Case Number EO-2019105-000410
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MUSIC CITY MIZFITS INC
Organization’s Mailing Address 247 BENZING RD
City ANTIOCH
State TN
ZIP 37013
Accounting period End 12
Primary contact name DONITA HINES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DONITA HINES
OWNER/DIRECTOR
247 BENZING RD
ANTIOCH TN 37013

Officer/Director/Trustee Two

RACHAEL ORTIZ MARSH
PRESIDENT/GM
3103 WILLIAMSBURG RD
CLARKSVILLE TN 37043

Officer/Director/Trustee Three

MERIA JACKSON
VICE PRESIDENT
689 FOXHOUND DR
CLARKSVILLE TN 37040

Officer/Director/Trustee Four

DAWN FOSTER
TREASURER
377 BONNAVUE DR
HERMITAGE TN 37076

Officer/Director/Trustee Five

DIONNA BLOCKER
SECRETARY
1177 BELVOORE LANE
CLARKSVILLE TN 37040

Organization’s website MUSICCITYMIZFITS.COM
Organization’s email DONITANEAL@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/23/2017
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N65 - Football Clubs, Leagues
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 DONITA HINES
Signature Title OWNER/DIRECTOR
Signature Date 4/11/2019

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