FORM 1023-EZ for JACKSON COUNTY MINISTERIAL ASSOCIATION

Field Data
EIN 83-4430267
Case Number EO-2019108-000294
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name JACKSON COUNTY MINISTERIAL ASSOCIATION
Organization’s Mailing Address 302 S MAIN ST PO BOX
City GAINESBORO
State TN
ZIP 38562
Accounting period End 12
Primary contact name TIM DUNAVANT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TIM DUNAVANT
CHAIRMAN
211 E MONTPELIER AVE
GAINESBORO TN 38562

Officer/Director/Trustee Two

MARK FORD
VICE CHAIRMAN
2740 GLADDICE HWY
WHITLEYVILLE TN 38588

Officer/Director/Trustee Three

EILEEN BREWER
SECRETARY
171 DALE GAW LN
GAINESBORO TN 38562

Officer/Director/Trustee Four

BECKY WILLIAMS
TREASURER
2326 FORT BLOUNT FERRY RD
GAINESBORO TN 38562

Organization’s website
Organization’s email DUNAVANTTIM@LIVE.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/14/19
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X21 - Protestant
Organization’s purpose Charitable: No
Religious: Yes
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 TIM DUNAVANT
Signature Title CHAIRMAN
Signature Date 4/16/19

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