FORM 1023-EZ for APPALACHIAN MENS ENSEMBLE

Field Data
EIN 46-4036892
Case Number EO-2015306-000363
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name APPALACHIAN MENS ENSEMBLE
Organization’s Mailing Address PO BOX 3991
City JOHNSON CITY
State TN
ZIP 37602-3991
Accounting period End 9
Primary contact name DAVID CROCKETT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

LARRY DODD
PRESIDENT
234 ECHO DR
ELIZABETHTON TN 37643-6189

Officer/Director/Trustee Two

DAVID CROCKETT
TREASURER
113 CHADWICK CIRCLE
JOHNSON CITY TN 37601-1090

Officer/Director/Trustee Three

FRANK LAVENDER
VICE PRESIDENT
319 HALE MEADE DR
JOHNSON CITY TN 37615-4635

Officer/Director/Trustee Four

JAMES CULP
SECRETARY
268 HOLLAND VIEW DR
JONESBOROUGH TN 37659-3570

Officer/Director/Trustee Five

ALAN STEVENS
ARTISTIC DIRECTOR
2014 E OAKLAND AVE
JOHNSON CITY TN 37601-2128

Organization’s website HTTPS://WWW.FACEBOOK.COM/AMENENSEMBLE
Organization’s email APPALACHIANMENSENSEMBLE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/1/2013
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A6B - Singing, Choral
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 Yes
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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