FORM 1023-EZ for SMITH COUNTY COMMUNITY MENTORSHIP PROGRAM
| Field | Data |
|---|---|
| EIN | 86-3976359 |
| Case Number | EO-2021168-000214 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | SMITH COUNTY COMMUNITY MENTORSHIP PROGRAM |
| Organization’s Mailing Address | 109 FIRST AVE W STE A |
| City | CARTHAGE |
| State | TN |
| ZIP | 37030 |
| Accounting period End | 12 |
| Primary contact name | JOHNNY RAY BROWN |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
JOHNNY RAY BROWN
PRESIDENT
11 BOSTON LANE
CARTHAGE TN 37030
Officer/Director/Trustee Two
SAMANTHA LEE
VICE PRESIDENT
33 HIETT HOLLOW LANE
PLEASANT SHADE TN 37145
Officer/Director/Trustee Three
LISA REECE
SECRETARY TREASURER
18 TISDALE LANE
BRUSH CREEK TN 38547
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | No |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 5/1/2020 |
| Organization Incorporation State | TN |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | I21 - Delinquency Prevention |
| 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 | Yes |
| 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 | JOHNNY RAY BROWN |
| Signature Title | PRESIDENT |
| Signature Date | 6/15/2021 |
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