FORM 1023-EZ for CHARLESTON COMMUNITY CENTER

Field Data
EIN 82-4520562
Case Number EO-2020051-000189
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CHARLESTON COMMUNITY CENTER
Organization’s Mailing Address 1264 TATUM POND ROAD
City TILLATOBA
State MS
ZIP 38961
Accounting period End 12
Primary contact name CONCETTA WELLS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CONCETTA WELLS
PRESIDENT
1264 TATUM POND ROAD
TILLATOBA MS 38961

Officer/Director/Trustee Two

WANDA CHATMON
VICE CHAIRMAN
17 MITCHELL LAKE ROAD
CHARLESTON MS 38921

Officer/Director/Trustee Three

LATRAY HAYES
CHAIRMAN
103 EAST GAY STREET
CHARLESTON MS 38921

Officer/Director/Trustee Four

JENNY TELLIS
VICE-PRESIDENT
705 PINE STREET
CHARLESTON MS 38921

Officer/Director/Trustee Five

TABITHA COLLINS
TRUSTEE
44 TANDY ROADD
CHARLESTON MS 38921

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/22/2018
Organization Incorporation State MS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O20 - Youth Centers, Clubs, Multipurpose
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: Yes
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 CONCETTA WELLS
Signature Title PRESIDENT
Signature Date 2/18/2020

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