FORM 1023-EZ for MOST EXCELLENT JUIETT ALLISON GRANDCHAPTER HOLY ROYAL ARCH MASONS PHA

Field Data
EIN 81-3302724
Case Number EO-2016224-000350
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MOST EXCELLENT JUIETT ALLISON GRANDCHAPTER HOLY ROYAL ARCH MASONS PHA
Organization’s Mailing Address 6475 WELLS GROVE DR
City BARTLETT
State TN
ZIP 38135
Accounting period End 12
Primary contact name JOHN PEW
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

GREGORY BERNARD
MOST EXCELLENT GRAND HIGH PRIEST
6475 WELLS GROVE DR
BARTLETT TN 38135

Officer/Director/Trustee Two

ARCHIE FOWLER
DEPUTY GRAND HIGH PRIEST
6475 WELLS GROVE DR
BARTLETT TN 38135

Officer/Director/Trustee Three

DAVID LEAVY
GRAND TREASURER
6475 WELLS GROVE DR
BARTLETT TN 38135

Officer/Director/Trustee Four

ANDRE DAVIS
GRAND SECRETARY
6475 WELLS GROVE DR
BARTLETT TN 38135

Officer/Director/Trustee Five

JOHNNY DEBERRY
GRAND RECORDER
6475 WELLS GROVE DR
BARTLETT TN 38135

Organization’s website
Organization’s email GREGBERNARD@BELLSOUTH.NET
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/20/2016
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P03 - Professional Societies, Associations
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
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 Yes
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 Yes
One Third Support Public No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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