FORM 1023-EZ for WATERTOWN SENIOR CITIZENS CLUB

Field Data
EIN 47-4383286
Case Number EO-2015181-000225
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name WATERTOWN SENIOR CITIZENS CLUB
Organization’s Mailing Address 215 GRAND AVENUE
City WATERTOWN
State TN
ZIP 37184
Accounting period End 12
Primary contact name MATTIE A RICKETTS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MATTIE RICKETTS
PRESIDENT
215 GRAND AVENUE
WATERTOWN TN 37184

Officer/Director/Trustee Two

NELL L MCKINNEY
SECRETARY
112 RICHLAND AVE
WATERTOWN TN 37184

Officer/Director/Trustee Three

RICK SCOTT
TREASURER
7173 POPLAR HILL ROAD
WATERTOWN TN 37184

Organization’s website NONE
Organization’s email JWTCPA@MINDSPRING.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/30/1984
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P81 - Senior Centers, Services
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: Yes
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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