FORM 1023-EZ for MT JULIET COPPERHEADS INC

Field Data
EIN 47-5016985
Case Number EO-2017017-000502
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MT JULIET COPPERHEADS INC
Organization’s Mailing Address 1004 BELLWOOD DR
City MT JULIET
State TN
ZIP 37122-2136
Accounting period End 12
Primary contact name JOSH SHAMBLIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TREVOR MORRIS
PRESIDENT
1004 BELLWOOD DR
MT JULIET TN 37122-2136

Officer/Director/Trustee Two

JOSHUA SHAMBLIN
SECRETARY
206 RUSTIC CT
OLD HICKORY TN 37138

Officer/Director/Trustee Three

CHAD THOMAS
VICE PRESIDENT
396 COBBLESTONE WAY
MT JULIET TN 37122

Organization’s website
Organization’s email TREVORMORRIS@TDS.NET
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/10/2015
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N63 - Baseball, Softball
Organization’s purpose Charitable: No
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
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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