FORM 1023-EZ for SUMMERTOWN SENIOR CITIZENS INC

Field Data
EIN 81-1898695
Case Number EO-2016125-000266
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SUMMERTOWN SENIOR CITIZENS INC
Organization’s Mailing Address PO BOX 192
City SUMMERTOWN
State TN
ZIP 38483
Accounting period End 12
Primary contact name SCOTT FRANKS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

PAT IVIE
PRESIDENT
352 REDHILL CENTER ROAD
LAWRENCEBURG TN 38464

Officer/Director/Trustee Two

KENNETH SCOTT FRANKS
VICE-PRESIDENT
14 RAILROAD BED PIKE PO BOX 192
SUMMERTOWN TN 38483

Officer/Director/Trustee Three

MELISSA NORMAN
SECRETARY
232 CEMETARY ROAD
LAWRENCEBURG TN 38464

Officer/Director/Trustee Four

MAGGIE SHADRICK
TREASURER
1345 TURNPIKE
SUMMERTOWN TN 38483

Officer/Director/Trustee Five

JANET FRANKS
BOARD MEMBER
121 CLARK STREET PO BOX 144
SUMMERTOWN TN 38483

Organization’s website NONE
Organization’s email KSFRANKS@CHARTER.NET
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/12/2016
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code K34 - Congregate Meals
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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