FORM 1023-EZ for SHELBYVILLE AND VICINITYY

Field Data
EIN 84-3564426
Case Number EO-2021021-000308
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SHELBYVILLE AND VICINITYY
Organization’s Mailing Address 207 SCOTLAND HEIGTS
City SHELBYVILLE
State TN
ZIP 37160
Accounting period End 6
Primary contact name HAZEL GANT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

HAZEL GANT
PRESIDENT
207 SCOTLAND HEIGTS
SHELBYVILLE TN 37160

Officer/Director/Trustee Two

CAROLYN BUCHANAN
VICE PRESIDENT
1111 MAIN STREET
SHELBYVILLE TN 37160

Officer/Director/Trustee Three

BRENDA HODGE
TREASURER AND FINANCIAL SECRETARY
306 LUCAS ROAD
SHELBYVILLE TN 37160

Officer/Director/Trustee Four

JUNE TAYLOR
RECORDING SECRETARY
307 NOBLITT STREET
SHELBYVILLE TN 37160

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/1/1991
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B11 - Single Organization Support
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 No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name HAZEL GANT
Signature Title PRESIDENT
Signature Date 11/25/2020

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