FORM 1023-EZ for TENNESSEE RIVER HUNTING RETRIEVER CLUB

Field Data
EIN 45-4660034
Case Number EO-2015141-000227
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name TENNESSEE RIVER HUNTING RETRIEVER CLUB
Organization’s Mailing Address 539 EAST HIGHWAY 22
City UNION CITY
State TN
ZIP 38261
Accounting period End 6
Primary contact name LELAND DAVIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

LELAND DAVIS
PRESIDENT
539 EAST HIGHWAY 22
UNION CITY TN 38261

Officer/Director/Trustee Two

EDDIE WATKINS
VICE PRESIDENT
2 KENTON HIGHWAY
RUTHERFORD TN 38369

Officer/Director/Trustee Three

LYNNE AYERS
SECRETARY
1303 LAKE ROAD
HORNBEAK TN 38232

Officer/Director/Trustee Four

LISA NEEL
TREASURER
PO BOX 590
UNION CITY TN 38281

Organization’s website
Organization’s email LELANDDAVIS@ATT.NET
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/29/2012
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D61 - Animal Training, Behavior
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 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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