FORM 1023-EZ for CAMP BLOUNT HISTORIC SITE ASSOCIATION

Field Data
EIN 82-1994667
Case Number EO-2017180-000347
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CAMP BLOUNT HISTORIC SITE ASSOCIATION
Organization’s Mailing Address 526 CORDERS CROSSROADS RD
City FAYETTEVILLE
State TN
ZIP 37334
Accounting period End 12
Primary contact name RANDY DELAP
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RANDY DELAP
PRESIDENT
526 CORDERS CROSSROADS RD
FAYETTEVILLE TN 37334

Officer/Director/Trustee Two

JACK TOWRY
TREASURER
65 WEST POINT DR
FAYETTEVILLE TN 37334

Officer/Director/Trustee Three

FARRIS BEASLEY
CHAIRPERSON
2270 LEWISBURG HWY
FAYETTEVILLE TN 37334

Officer/Director/Trustee Four

GLORIA MEADOWS
DIRECTOR
31 DEER TRACE RD
FAYETTEVILLE TN 37334

Officer/Director/Trustee Five

JOSEPH SMITH
DIRECTOR
1210 BAGLEY DR
FAYETTEVILLE TN 37334

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/27/2017
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A80 - Historical Societies, Related Historical Activities
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 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 Yes
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
Signature Title
Signature Date

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